Tristan Buckley

NPI #1144981036 in Concord, New Hampshire

Provider Information

NPI Number: 1144981036
Entity Type: Individual
Name: Tristan Buckley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 105 LOUDON RD BLDG 3
City: Concord
State: New Hampshire
ZIP Code: 03301-5600
Phone: (603) 228-0547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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