Provider Demographics
NPI:1396280541
Name:WINTRICH, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:WINTRICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4228
Mailing Address - Country:US
Mailing Address - Phone:727-735-8044
Mailing Address - Fax:
Practice Address - Street 1:357 3RD ST S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4228
Practice Address - Country:US
Practice Address - Phone:727-735-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician