NPI age
1 years
Enumerated 2025-01-20
● Active
Type 1 · Individual
Ansley Madison Tillman
Tillman is 1 of 3 behavior technician providers in Lake Park and 1 of 11766 in Georgia.
Primary specialty
Behavior Technician
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11766 active behavior technician providers in Georgia.
NPI age
1 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Practice location
406 Jackson Cir
Lake Park, GA 316364928
Mailing address
4104 Lantern Ln
Valdosta, GA 316026720
Specialties
-
Behavior Technician PrimaryThe 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...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.