Sandra Trevino
Social Worker, Clinical in New Haven, CT. Individual provider (NPI-1).
NPI number1205200375
StatusActive
Last updated in NPPESNov 26, 2019
Details
- NPI
- 1205200375
- Entity type
- Individual (NPI-1)
- Name
- Sandra Trevino
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2015
- Last updated
- Nov 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 006069 | CT | Yes |
| 103K00000X | Behavior Analyst | 006069 | CT |
Practice location
179 Cove StNew Haven, CT 06512-4310
Phone 203-668-8403
Mailing address
179 Cove StNew Haven, CT 06512-4310
Phone 203-668-8403
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