Individual
MEGAN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5366
Mailing address
18840 S KANAGA LOOP, EAGLE RIVER, AK 99577-8618
(907) 231-7402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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