| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAYLA LASHA TILLMAN | 1992398671 | 2021-02-14 |
Shayla Lasha Tillman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992398671. Registration indicates Shayla Lasha Tillman is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Ms. Shayla Lasha Tillman |
| Practice Office Address | 4201 N I 10 SERVICE RD W METAIRIE, LA US |
| Practice Office Telephone | 8774182978 |
| Mailing Address | 4201 N I 10 SERVICE RD W METAIRIE, LA 700066713 US |
| Business Telephone | 8774182978 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |