Provider Demographics
NPI:1952165243
Name:TREE CITY THERAPY LLC
Entity Type:Organization
Organization Name:TREE CITY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRITZER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:208-340-6422
Mailing Address - Street 1:1134 W CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-2620
Mailing Address - Country:US
Mailing Address - Phone:208-340-6422
Mailing Address - Fax:
Practice Address - Street 1:1134 W CRESCENT ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-2620
Practice Address - Country:US
Practice Address - Phone:208-340-6422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty