ANSLEY MADISON TILLMAN
NPI 1861203762
Behavior Technician in Lake Park, GA

Active since January 20, 2025
406 JACKSON CIR, LAKE PARK, GA 31636(229) 251-5589 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ansley Madison Tillman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANSLEY MADISON TILLMAN (NPI 1861203762) is an individual behavior technician in Lake Park, Georgia, licensed in Georgia (RBT-22-242788) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1861203762
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameANSLEY MADISON TILLMAN
Location Address406 JACKSON CIRLake Park, GA 31636-4928
Mailing Address4104 Lantern LnValdosta, GA 31602-6720 · (229) 251-5589
Sole ProprietorNo
Enumeration DateJanuary 20, 2025
Last NPPES UpdateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
NPI 1861203762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in GA · RBT-22-242788
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
406 JACKSON CIR, Lake Park, GA 31636

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
406 JACKSON CIR
LAKE PARK, GA 31636
Behavior Technician
406 JACKSON CIR
LAKE PARK, GA 31636
Behavior Analyst
406 JACKSON CIR
LAKE PARK, GA 31636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ansley Tillman's NPI number?

The NPI number for Ansley Tillman is 1861203762. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Ansley Tillman located?

Ansley Tillman practices at 406 Jackson Cir, Lake Park, GA 31636. The listed phone number is (229) 251-5589.

What is Ansley Tillman's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ansley Tillman was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.