Most Relevant Information
Provider Data
| NPI Number: | 1003467911 |
| Provider Name: | TRISHA DELEON RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 19-92412 |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 09/23/2019 |
Provider Practice Location
7608 NARROW PASS ST
LIVE OAK
TX
782333019
Practice Location Phone/Fax
| Phone: | 2107143545 |
| Fax: | 2105797115 |
Provider Mailing Location
7608 NARROW PASS ST
LIVE OAK
TX
782333019
Provider Mailing Phone/Fax
| Phone: | 2107143545 |
| Fax: | 2105797115 |