Individual
MRS. TRACY EISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
662 BUFF CAP RD, TOLLAND, CT 06084-2224
(860) 573-0382
Mailing address
662 BUFF CAP RD, TOLLAND, CT 06084-2224
(860) 573-0382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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