NPIMap

Organization Active NPI

Trek Behavioral Services, LLC

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1831560762
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-10264 Issued in FL
Legal business name
TREK BEHAVIORAL SERVICES, LLC
Practice address
3151 Hardin Combee Rd
Lakeland, FL 33801-3019
Phone
(863) 370-4015
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Mrs. Carrie A'Leshia Shriner
Title
Owner/Bcba
Phone
(863) 370-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-14-10264 FL Primary

Addresses

Primary practice location

3151 Hardin Combee Rd
Lakeland, FL 33801-3019

Mailing address

PO Box 93374
Lakeland, FL 33804-3374
Phone (863) 370-4015

National Provider Directory

National Provider Directory

Locations

3151 Hardin Combee Rd
Lakeland, FL 33801
Phone (863) 370-4015

Practitioners & affiliated clinicians

Practitioners 10

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1831560762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93374",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338043374",
            "telephone_number": "863-370-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 HARDIN COMBEE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338013019",
            "telephone_number": "863-370-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREK BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "SHRINER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A'LESHIA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "863-370-4015",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-10264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.