Victoria L Lacey

NPI #1700432259 in Ellington, Missouri

Provider Information

NPI Number: 1700432259
Entity Type: Individual
Name: Victoria L Lacey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 315 E WALNUT ST
City: Ellington
State: Missouri
ZIP Code: 63638-7943
Phone: (573) 663-2644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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