DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ESMERALDA TISTA

MEDICARE: ESMERALDA TISTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1104762368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA TISTA
Provider Business Mailing Address
First Line : 5588 N PALM AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-1913
Country : US
Telephone Number : 559-314-1128
Fax Number :
Provider Business Practice Location Address
First Line : 5588 N PALM AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-1913
Country : US
Telephone Number : 559-314-1128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

Similar Medicare Providers

1922017698 — MS. ANA E MENDOZA M.D
Practice Location Address:
5588 N PALM AVE
FRESNO, CA
93704-1913
Practice Phone: 559-459-4548
Practice Fax:
1437252400 — DR. CLAUDIA E. CERDA PSY.D.
Practice Location Address:
5588 N PALM AVE
FRESNO, CA
93704-1913
Practice Phone: 559-440-1004
Practice Fax: 559-650-5599
1639277601 — MS. MAYO GOLITI LMFT
Practice Location Address:
5588 N PALM AVE
FRESNO, CA
93704-1913
Practice Phone: 559-779-3717
Practice Fax:
1104998426 — ELSA E QUINTANILLA LMFT
Practice Location Address:
5588 N PALM AVE
FRESNO, CA
93704-1913
Practice Phone: 559-748-6840
Practice Fax: 559-746-7212
1609929900 — MRS. VIRGINIA BERGSTROM LMFT
Practice Location Address:
5588 N PALM AVE
FRESNO, CA
93704-1913
Practice Phone: 559-440-0980
Practice Fax: 559-440-0982
1598810079 — MARCELLE PRATT PSYD
Practice Location Address:
5588 N PALM AVE STE I-1
FRESNO, CA
93704-1913
Practice Phone: 559-997-6353
Practice Fax:

Directions to “ ESMERALDA TISTA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.