DR. Sylvia Ivonne Trevino-Maack, PHD, LCP, BCBA-D

NPI #1104148261 in Leavenworth, Kansas

Provider Information

NPI Number: 1104148261
Entity Type: Individual
Name: DR. Sylvia Ivonne Trevino-Maack, PHD, LCP, BCBA-D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: PHD, LCP, BCBA-D
Enumeration Date: Feb 17, 2010
Last Updated: Jul 2, 2019

Practice Location

Address: 403 N 4TH ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-1966
Phone: (913) 250-5509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - School — School	103TS0200X

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