Tracy Lee Heathman

NPI #1740810993 in Durant, Oklahoma

Provider Information

NPI Number: 1740810993
Entity Type: Individual
Name: Tracy Lee Heathman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 811 W CEDAR ST
City: Durant
State: Oklahoma
ZIP Code: 74701-4243
Phone: (830) 998-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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