Healthcare Provider Details

I. General information

NPI: 1932594199
Provider Name (Legal Business Name): HILLARY TUNSTALL LPA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E 2ND ST STE B
WASHINGTON NC
27889-4921
US

IV. Provider business mailing address

PO BOX 245
WASHINGTON NC
27889-0245
US

V. Phone/Fax

Practice location:
  • Phone: 252-947-6801
  • Fax: 910-442-8447
Mailing address:
  • Phone: 252-947-6801
  • Fax: 910-442-8447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4120
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-18550
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: