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

MS. Tristica Withrow

Individual provider Behavior Technician · NPI 1063087104

MS. Tristica Withrow is a Behavior Technician in Fairfield, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

6570 Sosna Dr
Fairfield, OH 45014-2222
Phone: (513) 942-4673
Fax: (513) 860-1439
Show map & directions

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

Additional practice locations (1)

  • 2100 Pleasant Ave, Hamilton, OH 45015-1133 — (513) 558-9006

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CDCA.184467 (OH)
Behavior Technician Taxonomy 106S00000X · Licence QMHS

Record details

NPI number1063087104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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