Individual
STEVEN EDWARD TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3002 LINCOLN DR W STE E, MARLTON, NJ 08053-1527
(856) 810-7599
(856) 810-7662
Mailing address
109 MINUTEMAN LN, WOOLWICH TOWNSHIP, NJ 08085-4236
(856) 832-4270
(856) 810-7662
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3959
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12118027
CAQH ID
—
Enumeration date
10/15/2010
Last updated
10/15/2010
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