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Individual

DR. TRACY J WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH,D., BCBA

Contact information

Practice address
1105 W RUSSELL STREET, SIOUX FALLS, SD 57104
(605) 271-2690
(605) 271-3956
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
(605) 271-3956

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-03-1438
SD
103T00000X
Psychologist
419
SD
103TB0200X
Cognitive & Behavioral Psychologist
Primary
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6551930
SD
Enumeration date
07/09/2008
Last updated
07/22/2021
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