Wilde, Tracy Leigh

Wilde, Tracy Leigh is an individual health care provider with primary practice located at 7015 S Dogwood Pl , Broken Arrow OK 74011-2071. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wilde, Tracy Leigh can be contacted via phone (918) 630-3566.

Contact Information

Primary practice address
7015 S Dogwood Pl Broken Arrow OK 74011-2071
Phone: (918) 630-3566
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1104143213
LBN Legal business name Wilde, Tracy Leigh
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2010
Last updated Feb 20th, 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.

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