Individual
LACI LYN SCATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
883 SEVEN OAKS BLVD, SMYRNA, TN 37167-6862
(629) 772-8311
(629) 206-6961
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(407) 915-7729
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1151
TN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/09/2020
Last updated
12/12/2023
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