Stephanie Trusty | Passaic, NJ • PECOS Search

Stephanie Trusty

Behavior Analyst

Behavioral Health & Social Service Providers

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046 (201) 518-6539

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Trusty does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1366156879
Provider Type
Individual
Full Name
Trusty, Stephanie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/9/2023
Last Updated
1/9/2023

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

Unlisted Fax

Mailing Location

115 Hillside Ave, Teaneck, NJ 07666-4008

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer