Individual provider Active NPI

Tracey Conrey, MS

  • Behavior Analyst
  • Daytona Beach, FL
National Provider Identifier
1306163167
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3737 Issued in FL
Practice address
868 George W Engram Blvd
Daytona Beach, FL 32114-1859
Phone
(386) 310-7879
Fax
(386) 233-3313
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-07-3737 FL Primary

Addresses

Primary practice location

868 George W Engram Blvd
Daytona Beach, FL 32114-1859

Mailing address

868 George W Engram Blvd
Daytona Beach, FL 32114-1859
Phone (386) 310-7879

Other identifiers 1

IdentifierTypeStateIssuer
1306163167MedicaidFL

Other names 1

  • Tracey Jarvis Bailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1306163167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 GEORGE W ENGRAM BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141859",
            "telephone_number": "386-310-7879",
            "fax_number": "386-233-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 GEORGE W ENGRAM BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141859",
            "telephone_number": "386-310-7879",
            "fax_number": "386-233-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONREY",
        "first_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-07-3737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306163167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "JARVIS BAILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.