Lacy Dietle
Lacy Dietle is a Behavior Technician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
3415 SE Powell BlvdPortland, OR 97202-3371
Phone: (888) 295-6996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (OR) |
|---|
Record details
| NPI number | 1528783560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 11, 2022 |
| Last updated in NPPES | October 11, 2022 |
| Certification date | October 11, 2022 |
| Mailing address | 3415 Se Powell Blvd, Portland, OR 97202-3371 |
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