Mildred G Truitt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-15-05333 Issued in CA

Practice address

145 E Edgewood Dr
Lakeland, FL 33803-4014

Phone

(863) 619-2809

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1205344058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034014",
            "telephone_number": "863-619-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034014",
            "telephone_number": "863-619-2809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581201",
            "country_code": "US",
            "telephone_number": "760-721-1706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "MILDRED",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-15-05333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110235600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Troum, MD
• Jennifer Marie Trube, DO
• Trucare Home Health Solutions LLC
• True Disciples of Jesus Christ Out Reach Ministry Inc.
• Susan Truett, LMHC
• Nielys Trujillo Varona
• Veronica Trujillo, PA-C
• Colten Tsai, DO
• Joshua Tsai, MD, MBA
• Vivian Tu

• Behavior Technician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.