Provider Demographics
NPI:1912403171
Name:WILLIAMS, TRACEE F (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRACEE
Middle Name:F
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1212 BUEHLER DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2128
Mailing Address - Country:US
Mailing Address - Phone:702-909-9333
Mailing Address - Fax:702-909-9262
Practice Address - Street 1:3925 N MARTIN L KING BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7673
Practice Address - Country:US
Practice Address - Phone:702-909-9333
Practice Address - Fax:702-909-9262
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst