Individual
MS. TRACI LYNN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15 COLUMBUS DR, SAVANNAH, GA 31405-4101
(808) 542-5147
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59536
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/17/2021
Last updated
08/23/2022
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