| NPI | 1417184730 |
|---|---|
| Former Name | TRACY ALICE TEETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2022-11-22 |