Individual
MORGAN TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9037 STELLHORN CROSSING PKWY, FORT WAYNE, IN 46815-5860
(260) 615-6879
Mailing address
9037 STELLHORN CROSSING PKWY, FORT WAYNE, IN 46815-5860
(260) 615-6879
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65103
IN
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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