Individual
MS. TRACY JANE RAULSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1441 FERRY ST APT 1, EUGENE, OR 97401-4566
(512) 971-9183
Mailing address
1441 FERRY ST APT 1, EUGENE, OR 97401-4566
(512) 971-9183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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