Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083098990 Deactivated / Inactive NPI Male Practitioner

Marlon Tilmon , BCBA

Behavior Analyst • Los Angeles, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marlon Tilmon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2015
NPI Deactivation Date June 26, 2024
Total Practice Duration ~9 Years of Practice (2015 – 2024)

Professional Overview & Biography Verified Profile Summary

Marlon Tilmon, BCBA was a registered Behavior Analyst practicing in Los Angeles, CA. Throughout an active medical career spanning 9 years, Marlon Tilmon provided care at the practice location at 1444 S CENTINELA AVE until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

1444 S Centinela Ave
3

Los Angeles, CA 900252562

Telephone 3107751521
Associated Practice Facility / Clinic
🏢 Banaitis Inc. Facility NPI 1346520459

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
543 Specialists

Practicing in Los Angeles, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 11410254

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Angela Maguire , RYT-500

Health & Wellness Coach

NPI 1710858741

RYT500

Daniel Banaitis , LMFT

Behavior Analyst

NPI 1932233954

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2017

Registered at 2115 W CRESCENT AVE, 244, ANAHEIM, CA 928013809 (Tel: 8185778743)

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Updated Business Mailing Address April 11, 2017

Registered at 2115 W CRESCENT AVE, 244, ANAHEIM, CA 928013809 (Tel: 8185778743)

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Provider Name / Credentials Updated April 11, 2017

Recorded as MARLON TILMON, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Behavior Analyst (License #1-14-10254 in CA)

NPI Profile Active July 10, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2015

Registered at 1444 S CENTINELA AVE, 3, LOS ANGELES, CA 900252562 (Tel: 3107751521)

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Updated Business Mailing Address July 10, 2015

Registered at 1444 S CENTINELA AVE, 3, LOS ANGELES, CA 900252562 (Tel: 3107751521)

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Provider Name / Credentials Updated July 10, 2015

Recorded as MARLON TILMON, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2015

Behavior Analyst (License #11410254 in CA)

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Initial NPI Registration & Enumeration July 10, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083098990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2015
Last Update: July 10, 2015
Deactivation Date: June 26, 2024

Mailing Address

1444 S Centinela Ave, 3

Los Angeles, CA 900252562

Phone: 3107751521

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.