Provider Demographics
NPI:1144966524
Name:RUFF, TRACY ADKINS
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:ADKINS
Last Name:RUFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4401
Mailing Address - Country:US
Mailing Address - Phone:856-237-4048
Mailing Address - Fax:
Practice Address - Street 1:53 MORRIS DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4401
Practice Address - Country:US
Practice Address - Phone:856-237-4048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst