Lacey Jackson
Lacey Jackson is a Behavior Technician in Lathrop, Missouri. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
124 Lisa AveLathrop, MO 64465-9641
Phone: (816) 398-3255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
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Record details
| NPI number | 1669031514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2019 |
| Last updated in NPPES | June 12, 2019 |
| Mailing address | 124 Lisa Ave, Lathrop, MO 64465-9641 |