Tristan Daeley, MS LBA DCR is a
Behavior Analyst based in Mount Vernon, Washington. Tristan Daeley is licensed to practice in Washington (license number 1-15-19009) and his current practice location is
1100 S 2nd St # 1, Mount Vernon, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 419-3640.
NPI number for Tristan Daeley is 1972925568 and his current mailing address is 1100 S 2nd St # 1, Mount Vernon, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972925568.
Healthcare Provider's Profile
| Full Name | Tristan Daeley |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 1100 S 2nd St # 1, Mount Vernon, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972925568
- Provider Enumeration Date: 01/16/2014
- Last Update Date: 09/06/2024
Medical Identifiers
Medical identifiers for Tristan Daeley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972925568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60242504 (Washington) | Secondary |
| 103K00000X | Behavior Analyst | BA60791227 (Washington) | Secondary |
| 103K00000X | Behavior Analyst | 1-15-19009 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tristan Daeley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tristan Daeley, MS LBA DCR
1100 S 2nd St # 1,
Mount Vernon, WA 98273-4209
Ph: (360) 419-3640 | Tristan Daeley, MS LBA DCR
1100 S 2nd St # 1,
Mount Vernon, WA 98273-4209
Ph: (360) 419-3640 |
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