TRISTAN PACK
NPI 1285294660
Assistant Behavior Analyst in Columbia, SC

Q: What is Tristan Pack's NPI number?

The NPI number for Tristan Pack is 1285294660. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Q: What is Tristan Pack's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Pack was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2019

1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229(803) 999-3752 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2024, Jun 18, 2019 (2 updates tracked since 2019).

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About Tristan Pack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTAN PACK (NPI 1285294660) is an individual assistant behavior analyst provider in Columbia, South Carolina and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1285294660

Entity TypeIndividualMale

Primary Taxonomy106E00000X

Provider Legal NameTRISTAN PACK

Location Address1048 WILDWOOD CENTRE DRColumbia, SC 29229-8420

Mailing Address1321 Murfreesboro Pike Ste 702Nashville, TN 37217-2679 · (615) 695-2277

Phone(803) 999-3752

Sole ProprietorNo

Enumeration DateJune 18, 2019

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1285294660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code106E00000X

Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

1048 WILDWOOD CENTRE DR, Columbia, SC 29229

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY BAUTISTA

Behavior Technician