Most Relevant Information
Provider Data
| NPI Number: | 1003682204 |
| Provider Name: | TRINITY BREWER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/29/2023 |
| Last Updated: | 11/29/2023 |
Provider Practice Location
1930 FREQUENT FLYER PT
COLORADO SPRINGS
CO
809151500
Practice Location Phone/Fax
| Phone: | 5664855444 |
| Fax: |
Provider Mailing Location
1930 FREQUENT FLYER PT
COLORADO SPRINGS
CO
809151500
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |