Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tristan Dwele Sullivan I

Individual provider Behavior Technician · NPI 1457204646

Mr. Tristan Dwele Sullivan I is a Behavior Technician in Los Banos, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

219 N Santa Rita St
Los Banos, CA 93635-3230
Phone: (650) 485-9913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1457204646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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