| Trinity Aba, Llc | |
|
7328 Orange Blossom Ave Port Richey FL 34668-2837 | |
| (727) 809-1328 | |
| Not Available |
| Full Name | Trinity Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7328 Orange Blossom Ave, Port Richey, Florida |
| Authorized Official Name and Position | Shelly Lynn Henry (CHIEF CLINICAL DIRECTOR) |
| Authorized Official Contact | 7278091328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Aba, Llc 7328 Orange Blossom Ave Port Richey FL 34668-2837 Ph: (727) 809-1328 | Trinity Aba, Llc 7328 Orange Blossom Ave Port Richey FL 34668-2837 Ph: (727) 809-1328 |
| NPI Number | 1477099687 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477099687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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