Individual
BELINDA LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W NORTH BEND RD, CINCINNATI, OH 45224-2606
(513) 363-4300
Mailing address
7162 READING RD, CINCINNATI, OH 45237-3838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
OH
Enumeration date
12/21/2017
Last updated
12/21/2017
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