NPI 1023664331

Trinity Michael Hall

Practitioner Behavior Technician Lenexa, KS

Practice location

Address: 12760 W 87th Street Pkwy STE 100, Lenexa, KS 66215-2878
Phone: (667) 444-9002
Mailing address: 19217 36th Ave W STE 210, Lynnwood, WA 98036-5751

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-95553 (KS)

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Registry record

NPI: 1023664331
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2019
Record last updated: 13 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.