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NPI Code Detail

MEDICARE: TRISTEN LONG

MEDICARE: TRISTEN LONG
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 : 1316870272
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTEN LONG
Provider Business Mailing Address
First Line : 711 COLORADO AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94303-3912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 711 COLORADO AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94303-3912
Country : US
Telephone Number : 650-938-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ TRISTEN LONG ” Practice Location

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