Laci Collinsworth

NPI #1093222531 in Crestview, Florida

Provider Information

NPI Number: 1093222531
Entity Type: Individual
Name: Laci Collinsworth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 5, 2018
Last Updated: Jan 5, 2018

Practice Location

Address: 851 N WILSON ST
City: Crestview
State: Florida
ZIP Code: 32536-2639
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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