Individual
MR. MELVIN LACKEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10708 ESK DR, LAS VEGAS, NV 89144
(562) 234-8354
Mailing address
10708 ESK DR, LAS VEGAS, NV 89144-4265
(562) 234-8354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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