Tristine Jackson
Individual provider Active NPI Behavior Technician · Robinson, TX
NPI 1730883265 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1730883265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 620 N Robinson Dr
Robinson, TX 76706-5312 - Phone
- (254) 732-2262
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
620 N Robinson Dr
Robinson, TX 76706-5312
Mailing address
620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262
Other providers in Robinson, TX
- Julianna Hindsley
- Stacy Allison Hobbs
- Josiah Ibarra
- Illuminated Consulting Solutions, LLC
- Katriel Ivy
- Steven Jensen
- Marc Levi Johnson
- Henry Glenn Jones
- Michael Christopher Jones I
- Kaylee Keefer
All providers in Robinson, TX · Behavior Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.