Individual
MRS. DENISE M. TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
60 MADISON AVE, NEW YORK, NY 10010-1600
(866) 696-0999
Mailing address
17 GREENRIDGE WAY, SPRING VALLEY, NY 10977-1814
(914) 843-3719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1863289
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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