Individual provider · Type 1 NPI

Anna Tillery, MA, BCBA, LPA

Psychologist · Mooresville, NC

NPI number 1649746413 Active

Practice location

647 Brawley School Rd Ste 104
Mooresville, NC 28117-6876

Call (704) 703-8588 Map

Mailing address

3402 Denada Path
Durham, NC 27707-6039

Other practice locations

  • 107 Commerce Centre Dr Ste 204, Huntersville, NC 28078-5870 · (704) 703-8588
  • 8801 Fast Park Dr Ste 101, Raleigh, NC 27617-4853 · (704) 703-8588

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Psychologist Primary 103T00000X5446 (NC)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1649746413

Anna Tillery, MA, BCBA, LPA's National Provider Identifier is 1649746413, issued on Oct 19, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Mooresville, NC. The record was last updated on Feb 15, 2023.