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Individual

TRACI ANN PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3033 N 44TH ST STE 210, PHOENIX, AZ 85018
(720) 706-3396
Mailing address
3033 N 44TH ST STE 210, PHOENIX, AZ 85018-7244

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000454
AZ
103K00000X
Behavior Analyst
0133001371
VA
103K00000X
Behavior Analyst
181355
AK

Other

Enumeration date
04/25/2019
Last updated
06/16/2025
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