Queneshia Tillman

NPI 1770920290 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1770920290
Gender Female
Enumeration Date 05/23/2013
Last Updated 05/23/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
6150 TRANSVERSE DR
LAS VEGAS NV, 89146-1167, US
Phone (702) 815-0202
Fax (702) 586-6645
Business Location
6150 TRANSVERSE DR
LAS VEGAS NV, 89146-1167, US
Phone (702) 815-0202
Fax (702) 586-6645
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Queneshia Tillman NPI is 1770920290, taxonomy code is 103K00000X Queneshia Tillman physically located at 6150 Transverse Dr, Las Vegas NV, 89146-1167. NPI Number Queneshia Tillman has the Individual type.

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1770920290 NPI number is provided on an as is basis without warranty of any kind. 1770920290 is maintained by the National Plan & Provider Enumeration System. The contents of Queneshia Tillman are for informational purposes only.