Most Relevant Information
Provider Data
| NPI Number: | 1003650789 |
| Provider Name: | MADELINE TRIFF |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2024 |
| Last Updated: | 06/19/2024 |
Provider Practice Location
201 N BRAND BLVD OFC 233
GLENDALE
CA
912033588
Practice Location Phone/Fax
| Phone: | 8187221770 |
| Fax: | 8555682494 |
Provider Mailing Location
100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO
CA
902455602
Provider Mailing Phone/Fax
| Phone: | 3108560800 |
| Fax: | 8555682494 |