Provider Demographics
NPI:1902092430
Name:DILLREE, AMY LYNN (PHD BCBA)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LYNN
Last Name:DILLREE
Suffix:
Gender:F
Credentials:PHD BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4019 LAKECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8608
Mailing Address - Country:US
Mailing Address - Phone:254-833-3744
Mailing Address - Fax:254-393-1253
Practice Address - Street 1:4019 LAKECLIFF DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8608
Practice Address - Country:US
Practice Address - Phone:254-833-3744
Practice Address - Fax:254-393-1253
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103TM1800X
TX1192103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities