Lacy Marie Wolter, MA, BCBA

NPI #1457738270 in South Bend, Indiana

Provider Information

NPI Number: 1457738270
Entity Type: Individual
Name: Lacy Marie Wolter, MA, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MA, BCBA
Enumeration Date: Apr 30, 2015
Last Updated: Feb 25, 2022

Practice Location

Address: 17390 DUGDALE DR STE 100
City: South Bend
State: Indiana
ZIP Code: 46635-1512
Phone: (574) 400-2169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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