Trek Behavioral Services, Llc | |
3151 Hardin Combee Rd Lakeland FL 33801-3019 | |
(863) 370-4015 | |
Not Available |
Full Name | Trek Behavioral Services, Llc |
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Speciality | Behavior Analyst |
Location | 3151 Hardin Combee Rd, Lakeland, Florida |
Authorized Official Name and Position | Carrie A'leshia Shriner (OWNER/BCBA) |
Authorized Official Contact | 8633704015 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trek Behavioral Services, Llc Po Box 93374 Lakeland FL 33804-3374 Ph: (863) 370-4015 | Trek Behavioral Services, Llc 3151 Hardin Combee Rd Lakeland FL 33801-3019 Ph: (863) 370-4015 |
NPI Number | 1831560762 |
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Provider Enumeration Date | 10/19/2015 |
Last Update Date | 12/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831560762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-14-10264 (Florida) | Primary |
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