Individual
TRACI DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 BANKS AVE, MCADOO, PA 18237-2508
(610) 396-3673
Mailing address
9 BANKS AVE, MCADOO, PA 18237-2508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
03/14/2024
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