Tristen McGovern-Quinn

Individual provider Active NPI Behavior Technician · Raleigh, NC

NPI 1659236255 · NPPES record last updated Dec 17, 2025

Key facts

NPI
1659236255
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5121 Kingdom Way Ste 100
Raleigh, NC 27607-6063
Phone
(800) 442-2762
NPI assigned
Dec 17, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5121 Kingdom Way Ste 100
Raleigh, NC 27607-6063

Mailing address

190 Independence Blvd
Asheville, NC 28805-9776
Phone (612) 227-5939

Other providers in Raleigh, NC

All providers in Raleigh, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.