Tristan Blake Camacho-Tarver, RBT

NPI #1689256349 in Forney, Texas

Provider Information

NPI Number: 1689256349
Entity Type: Individual
Name: Tristan Blake Camacho-Tarver, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Apr 22, 2021
Last Updated: Apr 22, 2021

Practice Location

Address: 709 W BROAD ST
City: Forney
State: Texas
ZIP Code: 75126-9148
Phone: (469) 458-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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