Organization
TRINITY AUTISM AND BEHAVIOR SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA DORSEY WHITEMAN BCBA (MANAGER)
(580) 695-3753
Entity
Organization
Contact information
Practice address
1505 W GORE BLVD, LAWTON, OK 73501-3608
(817) 476-0393
Mailing address
502 NW FORT SILL BLVD, LAWTON, OK 73507-6604
(580) 695-3753
(817) 382-2934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/23/2021
Last updated
09/26/2024
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