Individual
KRISTIE LEIGH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 LASKIN RD APT 448, VIRGINIA BEACH, VA 23451-3998
(210) 288-3598
Mailing address
521 LASKIN RD APT 448, VIRGINIA BEACH, VA 23451-3998
(210) 288-3598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68286
VA
Other
Enumeration date
05/31/2020
Last updated
11/07/2025
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