Individual
TRACY LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14844 W 107TH ST, LENEXA, KS 66215-4002
(720) 319-7614
Mailing address
14844 W 107TH ST, LENEXA, KS 66215-4002
(720) 319-7614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19377
KS
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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