Individual
TRACY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 HIGHWAY 101, LANDRUM, SC 29356-8980
(864) 501-0394
Mailing address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
02/05/2024
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