IndividualActive
Lidasia Tull, RBT
NPI 1295462240 · Behavior Technician · La Mesa, CA
Lidasia Tull, RBT is a Behavior Technician provider in La Mesa, CA (NPI 1295462240).
Provider details
- NPI number
- 1295462240
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- 22-225109 (CA)
Practice location
8270 La Mesa Blvd Ste 202
La Mesa, CA 91942-5216
Phone: (619) 713-0737
Fax: (619) 639-8277
Street-level locationGet directions
Mailing address
8270 La Mesa Blvd Ste 202
La Mesa, CA 91942-5216
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-08-01
- Certified
- 2022-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.