Individual
TRACEY L PROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19530 KEDZIE AVE, FLOSSMOOR, IL 60422-1778
(708) 754-8815
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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