Individual
TRACEY MARIE NEUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 N NOTTINGHAM AVE, CHICAGO, IL 60634-3611
(773) 484-0324
Mailing address
3304 N NOTTINGHAM AVE, CHICAGO, IL 60634-3611
(773) 484-0324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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