Lacie Gardner

NPI #1982306148 in Mobile, Alabama

Provider Information

NPI Number: 1982306148
Entity Type: Individual
Name: Lacie Gardner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 21, 2023
Last Updated: Mar 21, 2023

Practice Location

Address: 572 AZALEA RD STE 100
City: Mobile
State: Alabama
ZIP Code: 36609-1518
Phone: (251) 235-2531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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