MS. Lisa M Lacy, PHD

NPI #1336746916 in Menlo Park, California

Provider Information

NPI Number
1336746916
Entity Type
Individual
Name
MS. Lisa M Lacy, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
PHD
Enumeration Date
Oct 6, 2020
Last Updated
Oct 6, 2020

Practice Location

Address
1215 OBRIEN DR
ZIP Code
94025-1412
Phone
(650) 600-8084

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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