Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Marie Nelson

Individual provider Behavior Technician · NPI 1093504102

Lacey Marie Nelson is a Behavior Technician in South Jordan, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

11240 S River Heights Dr Ste 110
South Jordan, UT 84095-5106
Phone: (801) 935-3417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1093504102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address16255 Ventura Blvd Ste 830, Encino, CA 91436-2317

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