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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3121 N OAK STREET EXT |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1099 |
| 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 |
| 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 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| 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 | ||||
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| 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.