Individual
TRACY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BRAGG DR, EAST BERLIN, PA 17316-9342
(908) 591-4560
Mailing address
17 BRAGG DR, EAST BERLIN, PA 17316-9342
(908) 591-4560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
01/14/2021
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