Individual
MR. ROBERT TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 LUSCOMB RD, TAUNTON, MA 02780-4704
(508) 822-2345
Mailing address
105 LONGHILL AVE, SOMERSET, MA 02726-2912
(508) 679-6806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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