Kimberly Tracey
Individual provider Active NPI Behavior Technician · Upperco, MD
NPI 1992432371 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1992432371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 23 Thomas Shilling CT
Upperco, MD 21155-9334 - Phone
- (410) 818-8942
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Solutions, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
23 Thomas Shilling CT
Upperco, MD 21155-9334
Mailing address
23 Thomas Shilling CT
Upperco, MD 21155-9334
Phone (410) 818-8942
Other providers in Upperco, MD
- Amber L Stull
- Wendy Lee Sykes
- Fatmata Thorlie
- Amanda R Tincknell
- Lois F Tissue
- John Ryan Weitzel
- Brianna Wiafe
- Matthew Williams
- Jacqueline Golden Wilson
- Jennifer Wentworth Wilson
All providers in Upperco, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.