Individual
MISS TRACI RAE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 1ST AVE, FRANKLIN, VA 23851-1701
(757) 956-6100
(757) 956-6101
Mailing address
2713 DEERFIELD CRES, CHESAPEAKE, VA 23321-2447
(757) 653-6185
(757) 956-6100
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
VA
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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