Ahlexcis Kristian Lackey

NPI #1003505710 in Tyler, Texas

Provider Information

NPI Number: 1003505710
Entity Type: Individual
Name: Ahlexcis Kristian Lackey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2023
Last Updated: May 8, 2023

Practice Location

Address: 1001 W SW LOOP 323
City: Tyler
State: Texas
ZIP Code: 75701-9416
Phone: (430) 205-8710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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