Individual
TRACIE D SUMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABA THERAPIST
Contact information
Practice address
500 FAIRWAY DR, SUITE 102, DEERFIELD BCH, FL 33441-1814
(888) 880-9270
Mailing address
500 FAIRWAY DR, SUITE 102, DEERFIELD BCH, FL 33441-1814
(800) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
340066BN
CA
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
08/25/2014
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