Individual
TRACY CRYSTAL BRAMBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
9374 OLIVE BLVD STE 101, SAINT LOUIS, MO 63132-3253
(314) 932-2402
Mailing address
9374 OLIVE BLVD STE 101, SAINT LOUIS, MO 63132-3253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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