Most Relevant Information
Provider Data
| NPI Number: | 1003564808 |
| Provider Name: | TRISTAN MERRILL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2022 |
| Last Updated: | 03/11/2022 |
Provider Practice Location
2401 MUSTANG DR
GRAPEVINE
TX
760518640
Practice Location Phone/Fax
| Phone: | 2147990460 |
| Fax: |
Provider Mailing Location
2401 MUSTANG DR
GRAPEVINE
TX
760518640
Provider Mailing Phone/Fax
| Phone: | 2147990460 |
| Fax: |