Organization Active NPI

Trinity Behavioral Consulting LLC

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1821715426
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRINITY BEHAVIORAL CONSULTING LLC
Practice address
4355 E University Dr Ste 108
Mesa, AZ 85205-7000
Phone
(480) 578-2971
Fax
(480) 907-2365
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Vargas Clark
Title
Owner
Phone
(901) 216-1486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4355 E University Dr Ste 108
Mesa, AZ 85205-7000

Mailing address

4355 E University Dr Ste 108
Mesa, AZ 85205-7000
Phone (480) 578-2971

Other practice location 1

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone (480) 331-6731

National Provider Directory

National Provider Directory

Locations

4355 E University Dr
Ste 108
Mesa, AZ 85205
Phone (480) 578-2971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1821715426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 E UNIVERSITY DR STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057000",
            "telephone_number": "480-578-2971",
            "fax_number": "480-907-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 E UNIVERSITY DR STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057000",
            "telephone_number": "480-578-2971",
            "fax_number": "480-907-2365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 S Higley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852965045",
            "country_code": "US",
            "telephone_number": "480-331-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "VARGAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-216-1486"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.