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Kassaundra Tillman
NPI 1700377330 · Behavior Technician · San Jose, CA
Kassaundra Tillman is a Behavior Technician provider in San Jose, CA (NPI 1700377330).
Provider details
- NPI number
- 1700377330
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1922 the Alameda Ste 425
San Jose, CA 95126-1453
Phone: (510) 679-3545
Street-level locationGet directions
Mailing address
5714 Crow Ln
San Jose, CA 95123-3316
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2018-05-18
Frequently asked questions
- What is Kassaundra Tillman's NPI number?
- Kassaundra Tillman's National Provider Identifier (NPI) is 1700377330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kassaundra Tillman's specialty?
- Kassaundra Tillman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kassaundra Tillman located?
- Kassaundra Tillman's practice location on file with NPPES is 1922 the Alameda Ste 425, San Jose, CA 95126-1453.
- What is Kassaundra Tillman's phone number?
- The practice phone number listed in the NPPES registry for Kassaundra Tillman is (510) 679-3545.
- Is Kassaundra Tillman's NPI active?
- Yes — Kassaundra Tillman's NPI (1700377330) is active in the NPPES registry as of the last update on 2018-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.