Organization Active NPI

Trinity ABA, LLC

  • Behavior Analyst
  • Port Richey, FL
National Provider Identifier
1477099687
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRINITY ABA, LLC
Practice address
7328 Orange Blossom Ave
Port Richey, FL 34668-2837
Phone
(727) 809-1328
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mrs. Shelly Lynn Henry, MS, BCBA
Title
Chief Clinical Director
Phone
(727) 809-1328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7328 Orange Blossom Ave
Port Richey, FL 34668-2837

Mailing address

7328 Orange Blossom Ave
Port Richey, FL 34668-2837
Phone (727) 809-1328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1477099687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 ORANGE BLOSSOM AVE",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682837",
            "telephone_number": "727-809-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 ORANGE BLOSSOM AVE",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682837",
            "telephone_number": "727-809-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHELLY LYNN",
        "authorized_official_title_or_position": "CHIEF CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "727-809-1328",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.