What is Edwin Tillman's NPI number?

Edwin Tillman's National Provider Identifier (NPI) is 1417549007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Edwin Tillman's specialty?

Edwin Tillman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Edwin Tillman located?

Edwin Tillman's practice location on file with NPPES is 9920 19th St Apt 59, Rancho Cucamonga, CA 91737-4268.

What is Edwin Tillman's phone number?

The practice phone number listed in the NPPES registry for Edwin Tillman is (310) 388-7365.

Is Edwin Tillman's NPI active?

Yes — Edwin Tillman's NPI (1417549007) is active in the NPPES registry as of the last update on 2021-02-05.

IndividualActive

Edwin Tillman

NPI 1417549007 · Behavior Technician · Rancho Cucamonga, CA

Edwin Tillman is a Behavior Technician provider in Rancho Cucamonga, CA (NPI 1417549007).

Provider details

NPI number: 1417549007
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9920 19th St Apt 59

Rancho Cucamonga, CA 91737-4268

Phone: (310) 388-7365

Street-level locationGet directions

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Mailing address