Lacie Gunter

NPI #1508384124 in Odessa, Florida

Provider Information

NPI Number: 1508384124
Entity Type: Individual
Name: Lacie Gunter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 4, 2017
Last Updated: Sep 4, 2017

Practice Location

Address: 16414 LAKE CHURCH DR
City: Odessa
State: Florida
ZIP Code: 33556
Phone: (813) 926-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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