MRS. Laci Rachelle Pine

NPI #1376908764 in Lacey, Washington

Provider Information

NPI Number: 1376908764
Entity Type: Individual
Name: MRS. Laci Rachelle Pine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 29, 2015
Last Updated: Dec 29, 2015

Practice Location

Address: 8282 28TH CT NE
Address 2: SUITE A
City: Lacey
State: Washington
ZIP Code: 98516-7162
Phone: (360) 915-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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