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General NPI Number Information
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NPI Number | 1730830464
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Entity Type | Organization
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Legal Business Name | TRISTRAND THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 810 N LINDALE LN
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City | RICHARDSON
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State | TX
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Zip | 75080-5107
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Country | US
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Telephone | 214-632-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 810 N LINDALE LN
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City | RICHARDSON
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State | TX
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Zip | 75080-5107
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Country | US
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Telephone | 972-884-0999
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Fax | 214-594-8232
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Authorized Official
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Title or Position | OWNER, CHIEF CLINICAL OFFICER
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Name | ASHLI AVERY
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Credential | BCBA
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Telephone | 214-632-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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