Pack, Tristan

Pack, Tristan is an individual health care provider with primary practice located at 1048 Wildwood Centre Dr , Columbia SC 29229-8420. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Pack, Tristan can be contacted via phone (803) 999-3752.

Contact Information

Primary practice address
1048 Wildwood Centre Dr Columbia SC 29229-8420
Phone: (803) 999-3752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1285294660
LBN Legal business name Pack, Tristan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated Sep 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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