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NPI Code Detail

MEDICARE: CORRINA SYMONE TRUITT

MEDICARE: CORRINA SYMONE TRUITT
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 : 1871435487
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRINA SYMONE TRUITT
Provider Business Mailing Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Provider Business Practice Location Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ CORRINA SYMONE TRUITT ” Practice Location

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