Provider Demographics
NPI:1457011355
Name:TRAPP, GRIFFIN (RBT)
Entity Type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:
Last Name:TRAPP
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 W FARRAGUT AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2012
Mailing Address - Country:US
Mailing Address - Phone:314-696-9310
Mailing Address - Fax:312-216-0746
Practice Address - Street 1:1722 W FARRAGUT AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2012
Practice Address - Country:US
Practice Address - Phone:314-696-9310
Practice Address - Fax:312-216-0746
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician