Mrs. Tracy Jeannette Dickerson
Behavior Analyst Rehabilitation Psychologist
350 Kresge Lane
Sparks
, Nevada 89431
Mrs. Tracy Jeannette Dickerson
Behavior Analyst Rehabilitation Psychologist
350 Kresge Lane
Sparks
, Nevada 89431
(775) 359-9200
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About
Features
Specialties
- Behavior Analyst
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Tracy Jeannette Dickerson
- 350 Kresge Lane
- Sparks, NV
- Zip : 89431
- Phone : (775) 359-9200
Second Address
- Mrs. Tracy Jeannette Dickerson
- 350 Kresge Lane
- Sparks, NV
- Zip : 89431
- Phone : (775) 359-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103K00000X | Behavior Analyst | ||
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1124334149 |
|---|---|
| Provider Name | Mrs. Tracy Jeannette Dickerson |
| First Address | Sparks, NV 89431 |
| Second Address | Sparks, NV 89431 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2010 |
| Last Update Date | 27/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.