Active NPI
Trellis Behavior and Learning Solutions, LLC
- Community/Behavioral Health Agency
- Montgomery, AL
National Provider Identifier
1295200889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRELLIS BEHAVIOR AND LEARNING SOLUTIONS, LLC
- Practice address
- 4241 Lomac St
Montgomery, AL 36106-2879 - Phone
- (334) 790-7460
- Fax
- (877) 789-4775
- NPI assigned
- Oct 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Sonmor Underwood, BCBA
- Title
- Owner
- Phone
- (334) 790-7460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4241 Lomac St
Montgomery, AL 36106-2879
Mailing address
2153 Young Farm PL
Montgomery, AL 36106-3136
Phone (334) 790-7460
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Montgomery, AL
- NPI 1003044959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1295200889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2153 YOUNG FARM PL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063136",
"telephone_number": "334-790-7460",
"fax_number": "877-789-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4241 LOMAC ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062879",
"telephone_number": "334-790-7460",
"fax_number": "877-789-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRELLIS BEHAVIOR AND LEARNING SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-10",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "SONMOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-790-7460",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.