Individual
TRACY STICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9496
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-111924
ND
Other
Enumeration date
02/07/2020
Last updated
08/29/2024
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