Whalio Doctors

NPI 1104148261

Sylvia Ivonne Trevino-Maack, PHDLCPBCBAD

Practitioner Behavior Analyst Leavenworth, KS

Practice location

Address
403 N 4th St, Leavenworth, KS 66048-1966
Phone
(913) 250-5509
Fax
(913) 254-3151
Mailing address
5814 Grayhawk CT, Lawrence, KS 66047-2068

Registered specialties (4)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-13-12984 (KS)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-13-12984 (MO)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0213 (KS)
School Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 6911447291 (KS)

Registry record

NPI
1104148261
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Feb 2010
Record last updated
2 Jul 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.