Tracey Y Hall, BS BEHAVIORAL SERV,

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

205 Storey Blvd Ste 120
Cheyenne, WY 82009-3566

Phone

(307) 459-6160

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1720549579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 21ST ST APT BSMT",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013761",
            "telephone_number": "307-275-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STOREY BLVD STE 120",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093566",
            "telephone_number": "307-459-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TRACEY",
        "middle_name": "Y",
        "credential": "BS BEHAVIORAL SERV,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Hairgrove, RRT
• Halcyon Counseling
• Joseph Hales, M.D.
• Amber Hall, RN
• Ashley Dawn Hall
• Victoria Marie Hall, APRN, DNP, PMHNP-BC
• Gretchen Halley, R.D.
• Jean A Halpern, MD
• Valerie Joy Halverson, RPH
• Jennifer Halvorsen, RN

• Behavior Technician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Behavior Technician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.