Individual
TRACI ANNE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
11905 BOWMAN DR, FREDERICKSBURG, VA 22408-7344
(540) 395-9962
Mailing address
22 GREENRIDGE DR, STAFFORD, VA 22554-5120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001635
VA
106S00000X
Behavior Technician
RBT-17-37214
VA
Other
Enumeration date
01/16/2018
Last updated
03/06/2023
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