Provider Demographics
NPI:1235734559
Name:TRIO CHILD DEVELOPMENT PARTNERS, INC.
Entity Type:Organization
Organization Name:TRIO CHILD DEVELOPMENT PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:818-277-3605
Mailing Address - Street 1:14320 VENTURA BLVD STE 794
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2717
Mailing Address - Country:US
Mailing Address - Phone:818-277-3605
Mailing Address - Fax:
Practice Address - Street 1:12711 VENTURA BLVD STE 160
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604
Practice Address - Country:US
Practice Address - Phone:818-277-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty