Lacy Rae Gaines
Lacy Rae Gaines is a Behavior Technician in South Bend, Indiana. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2505 E Jefferson BlvdSouth Bend, IN 46615-2635
Phone: (574) 289-4831
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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 number | 1285413096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 22, 2023 |
| Last updated in NPPES | September 22, 2023 |
| Certification date | September 22, 2023 |
| Mailing address | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 |
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