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NPI Code Detail

MEDICARE: TRINITY VITELLI RBT

MEDICARE: TRINITY VITELLI RBT
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 TechnicianRBT-26-523634CO

General Provider Information

NPI Number : 1861330268
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINITY VITELLI RBT
Provider Business Mailing Address
First Line : PO BOX 151716
Second Line :
City : AUSTIN
State : TX
Zip : 78715-1716
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Provider Business Practice Location Address
First Line : 4815 LIST DR STE 107
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3340
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ TRINITY VITELLI RBT” 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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