Basic Information
| Provider Information | |||||||||
| NPI: | 1912318015 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROYER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | |||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10918 W MEADOWBROOK AVE | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850375229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107536965 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4500 N 32ND ST STE 201A | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4807995079 | ||||||||
| FaxNumber: | 8664573293 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2014 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-13-14196 | CA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.