AUTUMN TILLACK
NPI 1982256004
Behavior Technician in Tooele, UT
About Autumn Tillack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN TILLACK (NPI 1982256004) is an individual behavior technician in Tooele, Utah and active in the NPI registry since July 2019.
NPPES Registry Identity
Specialties & Licenses
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 Autumn Tillack's NPI number?
The NPI number for Autumn Tillack is 1982256004. It was assigned to this individual provider in the NPPES registry on July 9, 2019.
Where is Autumn Tillack located?
Autumn Tillack practices at 464 N 100 E, Tooele, UT 84074. The listed phone number is (435) 830-8394.
What is Autumn Tillack'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 Autumn Tillack was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.