Individual
TRACY FOCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
126-140
WI
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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