Williams, Tracy J

Williams, Tracy J is an individual health care provider with primary practice located at 1105 W Russell Street , Sioux Falls SD 57104. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Williams, Tracy J can be contacted via phone (605) 271-2690.

Contact Information

Primary practice address
1105 W Russell Street Sioux Falls SD 57104
Phone: (605) 271-2690
Fax: (605) 271-3956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-03-1438 South Dakota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 419 South Dakota
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1114180064
LBN Legal business name Williams, Tracy J
Credentials PH,D., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 22nd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114180064 NPPES
South Dakota MEDICAID 6551930

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