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

Tanya Distant-Goulbourne

Individual provider Behavior Technician · NPI 1396353942

Tanya Distant-Goulbourne is a Behavior Technician in Barstow, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

820 E Williams St
Barstow, CA 92311-3048
Phone: (855) 581-0100
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 number1396353942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

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