Kelly Trutter, BCBA
Behavior Analyst · Springfield, IL
Practice location
5221 6TH Street Frontage Rd ESpringfield, IL 62703-5190
- Phone
- (916) 752-3961
NPI record
- NPI
- 1891013470
- Entity type
- Individual (Type 1)
- Enumeration date
- May 6, 2010
- Last updated
- February 24, 2021
- Certified
- February 24, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
Mailing address
2423 Culpepper WayLincoln, CA 95648-7833
- Phone
- (916) 752-3961
- Fax
- (916) 543-6470
About Kelly Trutter
Kelly Trutter, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5221 6TH Street Frontage Rd E, Springfield, IL 62703-5190. The NPI number 1891013470 was assigned on May 6, 2010 and the record was last updated on February 24, 2021.
Frequently asked questions
What is the NPI number of Kelly Trutter, BCBA?
The NPI number is 1891013470.
What is the phone number of Kelly Trutter?
The phone number listed for the practice location is (916) 752-3961.
Where is Kelly Trutter located?
5221 6TH Street Frontage Rd E, Springfield, IL 62703-5190.
What is the taxonomy code for Kelly Trutter?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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