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

Lacy Lydia Sis

Individual provider Behavior Technician · NPI 1306688973

Lacy Lydia Sis is a Behavior Technician in Saint Paul, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1627 White Bear Ave N
Saint Paul, MN 55106-1609
Phone: (651) 278-7319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1306688973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address2106 Bradley St # Sy, Saint Paul, MN 55117-2136

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