Most Relevant Information
Provider Data
| NPI Number: | 1003554189 |
| Provider Name: | TRISTIAN TRUONG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/26/2022 |
| Last Updated: | 05/26/2022 |
Provider Practice Location
8433 SABLE BEAUTY ST
LAS VEGAS
NV
891312055
Practice Location Phone/Fax
| Phone: | 7029648996 |
| Fax: |
Provider Mailing Location
8433 SABLE BEAUTY ST
LAS VEGAS
NV
891312055
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |