Michael A Trotta, BCBA, LBA
Individual provider Active NPI Behavior Analyst · Vine Grove, KY
NPI 1801124243 · NPPES record last updated Sep 30, 2013
Key facts
- NPI
- 1801124243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-09-5557 (FL)
- Practice address
- 56 Cambridge CT
Vine Grove, KY 40175-5100 - Phone
- (270) 501-0858
- Fax
- (270) 828-5801
- NPI assigned
- Nov 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possibility Place PSC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-5557 | FL | Yes |
Addresses
Primary practice location
56 Cambridge CT
Vine Grove, KY 40175-5100
Mailing address
56 Cambridge CT
Vine Grove, KY 40175-5100
Phone (270) 501-0858
Other names
- Michael Trotta
Other providers in Vine Grove, KY
- Jamie Lynn Summitt
- Adrianna Marie Tantillo
- Adriana Tase Tenrrero
- Stephanie Lorraine Thomas
- Hannah Ryan Travis
- Vine Grove Family Medicine PSC
- Jenna Brielle Walker
- Mikayla Maire Wright
- Zenith ABA & Life Skills, LLC
All providers in Vine Grove, KY · Behavior Analyst in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.