Lenae Mallory Tillery X
Lenae Mallory Tillery X is a Behavior Technician in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2023.
- Licensed in
- LA
- In the registry since
- 2023
Practice location Address checks out
11607 Southfork Ave Bldg BBaton Rouge, LA 70816-5220
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (LA) |
|---|
Record details
| NPI number | 1619749728 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 23, 2023 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 23, 2023 |
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