Individual
TRACY VILLLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E GENERAL STEWART WAY STE 101, HINESVILLE, GA 31313-2636
(912) 334-9584
(855) 859-9671
Mailing address
740 E GENERAL STEWART WAY STE 101, HINESVILLE, GA 31313-2636
(912) 334-9584
(855) 859-9671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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