Malea Grace Lack
Malea Grace Lack is a Behavior Technician in Kennett, Missouri. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1226 Independence AveKennett, MO 63857-1316
Phone: (573) 559-2380
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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 | 1144919283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 4, 2023 |
| Last updated in NPPES | May 4, 2023 |
| Certification date | May 4, 2023 |
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Melissa Lacewell
1226 Independence Ave, Kennett, MO 63857-1316 · (573) 559-2380
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Jennifer Lynnette Lack
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