Manigault, Tracey Denise
Manigault, Tracey Denise is an sole proprietor health care provider with primary practice located at 8900 N Central Ave Ste 108F , Phoenix AZ 85020-2869. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Technician. Behavioral Health & Social Service Providers / School is her primary health care specialty. Manigault, Tracey Denise can be contacted via phone (928) 206-1766.Contact Information
Primary practice address
8900 N Central Ave Ste 108F
Phoenix AZ 85020-2869
Phone: (928) 206-1766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 4241632 | Arizona |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Behavioral Health & Social Service Providers / School | 103TS0200X | 4241632 | Arizona |
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
| Nursing Service Related Providers / Technician | 374700000X |
Profile Details
| NPI number | 1386171650 |
|---|---|
| LBN Legal business name | Manigault, Tracey Denise |
| Credentials | MA., CSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2017 |
| Last updated | Jul 27th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386171650 | NPPES |
| Arizona | Other | 4241632 | CERTIFIED SCHOOL PSYCHOLOGIST |
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