Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY JACKSON
Active Sole ProprietorLACEY JACKSON is a Behavior Technician healthcare provider located in LATHROP, Missouri. NPI 1669031514 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LATHROP, MO
Registration Details
- NPI Number
- 1669031514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2019 (7.1585716442972 yrs)
- Last Updated
- Jun 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 LISA AVELATHROP, MO, 644659641Browse MO providers · Browse ZIP 64465
- Phone
- 8163983255
- Primary Specialty
-
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.