TRISTEN BREANN TILLER


Address: 3121 N Oak Street Ext, Valdosta, GA 31602-1099
Phone: 2294125823

TRISTEN BREANN TILLER (NPI# 1942836051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942836051
Entity Type Individual
Full Name TRISTEN BREANN TILLER
Practice Address 3121 N Oak Street Ext
Valdosta
GA 31602-1099
Practice Telephone 2294125823
Mailing Telephone 2294125823
Enumeration Date 2020-03-20
Last Update Date 2020-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 3121 N OAK STREET EXT
City VALDOSTA
State GA
Zip Code 31602-1099

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376166850 Taylor Broome Behavioral Analyst 3121 N Oak Street Ext, Valdosta, GA 31602-1099 2020-05-19
1790306231 Kasen Mcdonald Behavioral Analyst 3121 N Oak Street Ext, Valdosta, GA 31602-1099 2020-05-06
1972124410 Kelsey Freeze Behavioral Analyst 3121 N Oak Street Ext, Valdosta, GA 31602-1099 2020-05-06
1285266452 Jocelyne Martinez Behavioral Analyst 3121 N Oak Street Ext, Valdosta, GA 31602-1099 2020-02-06
1760012249 Angelique Smith Behavioral Analyst 3121 N Oak Street Ext, Valdosta, GA 31602-1099 2020-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780246298 Madison Lynn Hepburn Behavioral Analyst 807 N Patterson St, Valdosta, GA 31601-4528 2019-07-03
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1033636329 Crystal Adcock Behavioral Analyst 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 2017-08-28
1194170712 Susan Bradley Behavioral Analyst 1951 Seminole Dr, Valdosta, GA 31601-0329 2016-05-02
1922437649 Ginger Sunbom Behavioral Analyst 4810 Mcallister St, Valdosta, GA 31605-6362 2013-11-04
1134553985 Compass Behavioral & Developmental Consultants LLC Behavioral Analyst 2935 N Ashley St Ste 112, Valdosta, GA 31602-1788 2013-08-29
1427392240 Lyndon Peter Delrosario Behavioral Analyst 2225 Bemiss Rd, Suite D, Valdosta, GA 31602-4818 2012-11-16
1659643286 Brittnaey Nicole Freeman Behavioral Analyst 3982 Karaline Cir, Valdosta, GA 31605 2012-01-27
1962708958 Jody Martin Behavioral Analyst 2823 Bud Mckey Circle, Valdosta, GA 31602 2011-02-08
1033718291 Anieyssa Dickson Behavioral Analyst 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 2020-10-20
Find all providers in VALDOSTA

Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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