NPI 1003437765

Tracie Heacox

Practitioner Behavior Analyst Eden Prairie, MN

Practice location

Address: 6200 Bury Dr, Eden Prairie, MN 55346-1718
Phone: (866) 822-7464
Mailing address: 6128 Penn Ave S, Minneapolis, MN 55419-2035

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1003437765
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2020
Record last updated: 4 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.