Lacey Humphrey

NPI #1104405448 in Sumterville, Florida

Provider Information

NPI Number: 1104405448
Entity Type: Individual
Name: Lacey Humphrey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2021
Last Updated: Apr 5, 2021

Practice Location

Address: 2210 CR 528
City: Sumterville
State: Florida
ZIP Code: 33585-5214
Phone: (352) 314-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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