Provider Demographics
NPI:1255153953
Name:FROHMANN, TRISHA M (RBT)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:M
Last Name:FROHMANN
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 1:709 DAMEK TER SW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-1731
Mailing Address - Country:US
Mailing Address - Phone:321-506-2656
Mailing Address - Fax:
Practice Address - Street 1:709 DAMEK TER SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-1731
Practice Address - Country:US
Practice Address - Phone:321-506-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-387881106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician