Eddy, Tristan

Eddy, Tristan is an individual health care provider with primary practice located at 1055 Farmington Ave , Farmington CT 06032-1573. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Eddy, Tristan can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
1055 Farmington Ave Farmington CT 06032-1573
Phone: (818) 241-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1174288542
LBN Legal business name Eddy, Tristan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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