Most Relevant Information
Provider Data
| NPI Number: | 1003482845 |
| Provider Name: | TRACY LIVINGSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-15-19377 |
Most Important Dates
| Enumeration Date: | 06/02/2021 |
| Last Updated: | 06/02/2021 |
Provider Practice Location
14844 W 107TH ST
LENEXA
KS
662154002
Practice Location Phone/Fax
| Phone: | 7203197614 |
| Fax: |
Provider Mailing Location
14844 W 107TH ST
LENEXA
KS
662154002
Provider Mailing Phone/Fax
| Phone: | 7203197614 |
| Fax: |