Sylvia Ivonne Trevino-Maack, PHD, LCP, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12984 Issued in KS

Practice address

403 N 4TH St
Leavenworth, KS 66048-1966

Phone

(913) 250-5509

Fax

(913) 254-3151

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Sylvia Ivonne Maack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monarch ABA, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leavenworth, KS
  • NPI 1821446246
  NPD (past)
• Monarch Behavioral Supports, LLC

  • Behavior Analyst
  • Leavenworth, KS
  • NPI 1942709126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1104148261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 GRAYHAWK CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472068",
            "telephone_number": "785-979-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481966",
            "telephone_number": "913-250-5509",
            "fax_number": "913-254-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9561 N Ambassador Dr Apt 5301",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641547238",
            "country_code": "US",
            "telephone_number": "913-250-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO-MAACK",
        "first_name": "SYLVIA",
        "middle_name": "IVONNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCP, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "1-13-12984",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0213",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "KS",
            "license": "6911447291",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "1-13-12984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "MAACK",
            "middle_name": "IVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Nichole Trader, RN
• Thaison Paul Tran, M.D.
• Christy Trapani, RN
• Felisha Treece, RBT
• Eliezer Angel Trejo
• Courtney Marie Trieb
• Kasey Troupe
• Andrew Hunter Trout
• Tony H Tseng, M.D.
• Valerie Marie Tucci

• Behavior Analyst in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.