Individual
DEREK TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4006 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2834
(317) 775-7382
(317) 342-3429
Mailing address
4006 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2834
(317) 775-7382
(317) 342-3429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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