Individual
DR. SYLVIA IVONNE TREVINO-MAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCP, BCBA-D
Contact information
Practice address
403 N 4TH ST, LEAVENWORTH, KS 66048-1966
(913) 250-5509
(913) 254-3151
Mailing address
5814 GRAYHAWK CT, LAWRENCE, KS 66047-2068
(785) 979-1088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12984
KS
103K00000X
Behavior Analyst
1-13-12984
MO
103TC0700X
Clinical Psychologist
0213
KS
103TS0200X
School Psychologist
6911447291
KS
Other
Enumeration date
02/17/2010
Last updated
07/02/2019
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