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Tracy Lynn

Behavior Technician in Charlotte, NC. Individual provider (NPI-1).

NPI number1083173413
StatusActive
Last updated in NPPESOct 21, 2020

Details

NPI
1083173413
Entity type
Individual (NPI-1)
Name
Tracy Lynn
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2019
Certification date
Oct 21, 2020
Last updated
Oct 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

Phone 855-201-5498

Mailing address

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

Phone 855-201-5498

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