Individual
MRS. TRACI LYNN SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, BCBA
Contact information
Practice address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 259-1680
Mailing address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 740-0799
(406) 259-1777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
PSY-BA-LIC-2492
MT
235Z00000X
Speech-Language Pathologist
Primary
1116
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629203054
—
MT
Enumeration date
03/01/2007
Last updated
01/31/2024
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