SUMMER LACY

Behavior Technician

Active Individual
NPI: 1013795186

Practice Address

301 N SIDNEY AVE
Russellville, AR 72801

Phone: (479) 890-5494

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1013795186 is the National Provider Identifier for SUMMER LACY, a Behavior Technician provider located in Russellville, AR. This NPI was enumerated on September 19, 2023.
SUMMER LACY practices at 301 N SIDNEY AVE, Russellville, AR 72801.

Quick Facts

NPI
1013795186
Type
Individual
Enumerated
Sep 19, 2023
Last Updated
Dec 9, 2024

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