| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TRACY J BURGESS | 1821812546 | 2024-11-09 |
Tracy J Burgess is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821812546. Registration indicates Tracy J Burgess is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Tracy J Burgess |
| Practice Office Address | 480 ROUTE 6A EAST SANDWICH, MA US |
| Practice Office Telephone | 7742052237 |
| Mailing Address | PO BOX 725 EAST SANDWICH, MA 025370725 US |
| Business Telephone | 7742052237 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |