Kettering, Tracy Lynne

Kettering, Tracy Lynne is an individual health care provider with primary practice located at 311 Walton Ave , Mount Laurel NJ 08054-9579. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kettering, Tracy Lynne can be contacted via phone (844) 234-8387.

Contact Information

Primary practice address
311 Walton Ave Mount Laurel NJ 08054-9579
Fax: (856) 429-4755
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1062808 New Jersey

Profile Details

NPI number 1376895870
LBN Legal business name Kettering, Tracy Lynne
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Nov 14th, 2019 - about 7 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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