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

Lacie Wally

Individual provider Behavior Technician · NPI 1225850894

Lacie Wally is a Behavior Technician in San Clemente, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1319 Calle Avanzado
San Clemente, CA 92673-6351
Phone: (949) 272-6146
Fax: (888) 847-8864
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 number1225850894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 22, 2024
Mailing address1319 Calle Avanzado, San Clemente, CA 92673-6351

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