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NPI Code Detail

MEDICARE: TRISTAN PHILPOT

MEDICARE: TRISTAN PHILPOT
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1891454120
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTAN PHILPOT
Provider Business Mailing Address
First Line : 5963 KENTSHIRE DR
Second Line :
City : DAYTON
State : OH
Zip : 45440-4253
Country : US
Telephone Number : 937-952-6379
Fax Number :
Provider Business Practice Location Address
First Line : 5963 KENTSHIRE DR
Second Line :
City : DAYTON
State : OH
Zip : 45440-4253
Country : US
Telephone Number : 937-952-6379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 05/30/2024

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Directions to “ TRISTAN PHILPOT ” 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.

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