Provider Demographics
NPI:1376387522
Name:BEST, TRACI J (RFPSS, RPSS)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:J
Last Name:BEST
Suffix:
Gender:F
Credentials:RFPSS, RPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 GORDON CROCKET DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5121
Mailing Address - Country:US
Mailing Address - Phone:337-349-4488
Mailing Address - Fax:
Practice Address - Street 1:720 SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-6706
Practice Address - Country:US
Practice Address - Phone:337-349-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist