Healthcare Provider Details
I. General information
NPI: 1528399409
Provider Name (Legal Business Name): TRAINA BEHAVIORAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2010
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1395 BRENTWOOD RD
YARDLEY PA
19067-3927
US
IV. Provider business mailing address
1395 BRENTWOOD RD
YARDLEY PA
19067-3927
US
V. Phone/Fax
- Phone: 609-658-3324
- Fax: 267-392-5340
- Phone: 609-658-3324
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | PA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | PA |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name:
ALLISON
LYNN
TRAINA
Title or Position: CLINICAL DIRECTOR
Credential: M.S., BCBA
Phone: 609-658-3324