Most Relevant Information
Provider Data
| NPI Number: | 1003647561 |
| Provider Name: | TRACY ESCOBAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2024 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
131 HATCHER LN STE A
CLARKSVILLE
TN
370435921
Practice Location Phone/Fax
| Phone: | 9314441449 |
| Fax: |
Provider Mailing Location
7500 SAN FELIPE ST STE 990
HOUSTON
TX
770631708
Provider Mailing Phone/Fax
| Phone: | |
| Fax: | 8666111558 |