| Trifam Behavior Agency Llc | |
|
1320 Se Federal Hwy Ste 212 Stuart FL 34994-3410 | |
| (772) 249-7218 | |
| Not Available |
| Full Name | Trifam Behavior Agency Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1320 Se Federal Hwy Ste 212, Stuart, Florida |
| Authorized Official Name and Position | Ricardo Rafael De La Torre (OWNER) |
| Authorized Official Contact | 7722497218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trifam Behavior Agency Llc 1320 Se Federal Hwy Ste 212 Stuart FL 34994-3410 Ph: (772) 249-7218 | Trifam Behavior Agency Llc 1320 Se Federal Hwy Ste 212 Stuart FL 34994-3410 Ph: (772) 249-7218 |
| NPI Number | 1851091110 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851091110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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