Dickerson, Tracy Jeannette

Dickerson, Tracy Jeannette is an individual health care provider with primary practice located at 350 Kresge Lane , Sparks NV 89431. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Rehabilitation, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Dickerson, Tracy Jeannette can be contacted via phone (775) 359-9200.

Contact Information

Primary practice address
350 Kresge Lane Sparks NV 89431
Phone: (775) 359-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1124334149
LBN Legal business name Dickerson, Tracy Jeannette
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2010
Last updated Aug 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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