Individual
TRACY LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1211 ILLINOIS AVE, JOPLIN, MO 64801-5026
(417) 781-3616
(417) 782-1490
Mailing address
1211 ILLINOIS AVE, JOPLIN, MO 64801-5026
(417) 781-3616
(417) 782-1490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012015600
MO
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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