| Trinity Autism And Behavior Services, Pllc | |
|
1505 W Gore Blvd Lawton OK 73501-3608 | |
| (817) 476-0393 | |
| Not Available |
| Full Name | Trinity Autism And Behavior Services, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1505 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Tamara Dorsey Whiteman (MANAGER) |
| Authorized Official Contact | 5806953753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Autism And Behavior Services, Pllc 502 Nw Fort Sill Blvd Lawton OK 73507-6604 Ph: (580) 695-3753 | Trinity Autism And Behavior Services, Pllc 1505 W Gore Blvd Lawton OK 73501-3608 Ph: (817) 476-0393 |
| NPI Number | 1093482697 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093482697 | NPI | - | NPPES |
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