Green, Tristian

Green, Tristian is an individual health care provider with primary practice located at 2261 Villa Ave , Clovis CA 93612-4377. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Green, Tristian can be contacted via phone (559) 575-8172.

Contact Information

Primary practice address
2261 Villa Ave Clovis CA 93612-4377
Phone: (559) 575-8172
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1861092728
LBN Legal business name Green, Tristian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2020
Last updated Oct 29th, 2020 - 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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