Individual
CARLEE LACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4016 BOULDER DR, LOVELAND, CO 80538-2004
(303) 960-5096
Mailing address
4016 BOULDER DR, LOVELAND, CO 80538-2004
(303) 960-5096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77888
—
106S00000X
Behavior Technician
RBT-18-67781
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-77888
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
03/01/2020
Last updated
12/26/2024
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