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NPI Code Detail

MEDICARE: LAURA TREVINO

MEDICARE: LAURA TREVINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1346171311
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA TREVINO
Provider Business Mailing Address
First Line : 77101 CALIFORNIA DR APT C15
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-7842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 47915 OASIS ST
Second Line :
City : INDIO
State : CA
Zip : 92201-6950
Country : US
Telephone Number : 760-863-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ LAURA TREVINO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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