Individual
TRACY VADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 BOWERS ST UNIT 1154, BIRMINGHAM, MI 48012-7046
(313) 617-6888
Mailing address
1221 BOWERS ST UNIT 1154, BIRMINGHAM, MI 48012-7046
(313) 617-6888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
247200000X
MI
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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