Individual
MRS. TRACY GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 987-5441
(434) 220-2536
Mailing address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 987-5441
(434) 220-2536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000714
VA
Other
Enumeration date
05/11/2016
Last updated
08/17/2020
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