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

Tiffany Bullistron

Individual provider Behavior Technician · NPI 1689310112

Tiffany Bullistron is a Behavior Technician in San Diego, California. Practices as a sole proprietor and works from 4 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone: (866) 530-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 — (877) 418-2978
  • 100 Main St S, Minot, ND 58701-3914 — (619) 836-2074
  • 1104 2nd St Se Apt B, Minot, ND 58701-5908 — (619) 836-2074

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1689310112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2022
Last updated in NPPESMay 8, 2022
Certification dateAugust 7, 2020

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