Provider Demographics
NPI:1043998982
Name:CORBACHO TRAPANI, LINDA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:CORBACHO TRAPANI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 SKIFF WAY DR
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-4728
Mailing Address - Country:US
Mailing Address - Phone:908-591-9251
Mailing Address - Fax:
Practice Address - Street 1:1104 SKIFF WAY DR
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-4728
Practice Address - Country:US
Practice Address - Phone:908-591-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst