Individual
MS. EMILIA RUTH TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
2167 W TERRA LN, O FALLON, MO 63366-2366
(573) 594-5703
Mailing address
2167 W TERRA LN, O FALLON, MO 63366-2366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001937
—
Other
Enumeration date
09/18/2018
Last updated
03/04/2026
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