Downer, Tilly

Downer, Tilly is an individual health care provider with primary practice located at 515 S 700 E Ste 2A , Salt Lake City UT 84102-2855. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Downer, Tilly can be contacted via phone (800) 434-8923.

Contact Information

Primary practice address
515 S 700 E Ste 2A Salt Lake City UT 84102-2855
Phone: (800) 434-8923
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 11368810-2507 Utah

Profile Details

NPI number 1437601366
LBN Legal business name Downer, Tilly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2016
Last updated Jul 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437601366 NPPES
Utah MEDICAID 1396085718

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