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

Individual provider Behavior Analyst · NPI 1457738270

Lacy Marie Wolter, MA, BCBA is a Behavior Analyst in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (317) 520-8200
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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 1-16-24012 (IN)

Record details

NPI number1457738270
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , BCBA
Sole proprietorNo
NPI enumeratedApril 30, 2015
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

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