Individual
TRACY LYNETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR SUPPORT TEC
Contact information
Practice address
3863 CLEVELAND AVE, SAINT LOUIS, MO 63110-4009
(314) 664-3927
(314) 664-0556
Mailing address
3863 CLEVELAND AVE, SAINT LOUIS, MO 63110-4009
(314) 664-3927
(314) 664-0556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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