Individual
TRACY WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
25 E PARK AVE, DU BOIS, PA 15801-2271
(814) 371-3763
Mailing address
249 OHIO ST, REYNOLDSVILLE, PA 15851-1029
(814) 590-1568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002051
PA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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