Provider Demographics
NPI:1912432840
Name:TROBIA, EMMA (BA)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:TROBIA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4389 N PARKWAY AVE
Mailing Address - Street 2:641
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4032
Mailing Address - Country:US
Mailing Address - Phone:602-316-2036
Mailing Address - Fax:
Practice Address - Street 1:4389 N PARKWAY AVE
Practice Address - Street 2:641
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-4032
Practice Address - Country:US
Practice Address - Phone:602-316-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician