Lacey Tank
Lacey Tank is an Assistant Behavior Analyst in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2023.
- Licensed in
- GA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1642 Powers Ferry Rd SE Ste 100Marietta, GA 30067-9489
Phone: (770) 565-3045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-23-64419 (GA) |
|---|---|
| Assistant Behavior Analyst | Taxonomy 106E00000X |
Record details
| NPI number | 1629777396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 1, 2023 |
| Last updated in NPPES | March 13, 2023 |
| Certification date | March 13, 2023 |
| Mailing address | 951 Glenwood Ave Se Unit 2303, Atlanta, GA 30316-6801 |
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Benjamin Alexander Ott
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Miss. Katherine Sargent
1640 Powers Ferry Rd SE, Marietta, GA 30067-5491 · (404) 362-7442
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Taylor M. Thompson, BCABA, CRC, NCC, LPC
4994 Lowr Roswell RD Ste 10, Marietta, GA 30068-4332 · (770) 565-3045
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