Victoria L Lacey
Individual provider Active NPI Behavior Technician · Ellington, MO
NPI 1700432259 · NPPES record last updated Aug 12, 2019
Key facts
- NPI
- 1700432259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 315 E Walnut St
Ellington, MO 63638-7943 - Phone
- (573) 663-2644
- Fax
- (573) 663-2646
- NPI assigned
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
315 E Walnut St
Ellington, MO 63638-7943
Mailing address
315 E Walnut St
Ellington, MO 63638-7943
Phone (573) 663-2644
Other providers in Ellington, MO
- John R Galloway
- Bhaskar Gupta
- Healthpro Physical Therapy LLC
- Sarah Hill
- Stacey Keeney
- Thelma Nicole Lee
- Gwyndolen Ann Loyd
- Amy Lee Manning
- Kristi Lyn Martin
- Jeanie Larue McClanahan
All providers in Ellington, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.