Individual
TRACY LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S RAILROAD AVE, NEW ALBANY, MS 38652-3805
(662) 598-2050
Mailing address
300 S RAILROAD AVE, NEW ALBANY, MS 38652-3805
(662) 598-2050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-23-14601
MS
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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