Individual
ANDREA LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 FLAMINIAN LN UNIT 202, NORTH LAS VEGAS, NV 89084-2180
(702) 808-0812
Mailing address
6655 FLAMINIAN LN UNIT 202, NORTH LAS VEGAS, NV 89084-2180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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