Melissa Jennifer Tracy

NPI #1710553136 in Omro, Wisconsin

Provider Information

NPI Number: 1710553136
Entity Type: Individual
Name: Melissa Jennifer Tracy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 6601 COUNTY ROAD K
City: Omro
State: Wisconsin
ZIP Code: 54963-9470
Phone: (920) 268-1998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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