Individual
TRACY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
293 ELMWOOD AVE, CRYSTAL LAKE, IL 60014-5146
(630) 940-6892
Mailing address
293 ELMWOOD AVE, CRYSTAL LAKE, IL 60014-5146
(630) 940-6892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80883
IL
106S00000X
Behavior Technician
BACB641394
IL
Other
Enumeration date
08/09/2024
Last updated
08/18/2025
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