Individual
TRACIE HEACOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 BURY DR, EDEN PRAIRIE, MN 55346-1718
(866) 822-7464
Mailing address
6128 PENN AVE S, MINNEAPOLIS, MN 55419-2035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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