Tracy Payeng Thao
NPI #1164191623 in North Saint Paul, Minnesota
Provider Information
- NPI Number
- 1164191623
- Entity Type
- Individual
- Name
- Tracy Payeng Thao
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 2344 HELEN ST N
- City
- North Saint Paul
- State
- Minnesota
- ZIP Code
- 55109-2942
- Phone
- (651) 773-5988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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