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Indira Tillett , RBT

Behavior Technician β€’ Riverside, CA

Deactivated NPI 1093221079 Deactivated in NPPES Female Practitioner
Practice location in NPPES

3937 Park View Ter
Riverside, CA 925012359

Phone: 3233365110

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 12, 2026; the reason is not published. The records below are historical. They do not show whether Indira Tillett currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 28, 2017
NPI Deactivation Date October 12, 2026
NPI Active Period 2017 – 2026

Practice Location & Contact Primary Location

Practice Address

3937 Park View Ter

Riverside, CA 925012359

Telephone 3233365110

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Riverside and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated October 12, 2026

NPPES lists this NPI as deactivated as of October 12, 2026; the reason is not published.

βœ…
NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) December 28, 2017

Registered at 3937 PARK VIEW TER, RIVERSIDE, CA 925012359 (Tel: 3233365110)

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Business Mailing Address (Initial Record) December 28, 2017

Registered at 3937 PARK VIEW TER, RIVERSIDE, CA 925012359

πŸ‘€
Provider Name / Credentials (Initial Record) December 28, 2017

Recorded as INDIRA TILLETT, RBT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Behavior Technician

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Initial NPI Registration & Enumeration December 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093221079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2017
Last Update: December 28, 2017
Deactivation Date: October 12, 2026
Sole Proprietor: Yes

Mailing Address

3937 Park View Ter

Riverside, CA 925012359

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.