Individual
LACEY MARIE MOREILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13431 OLD MERIDIAN ST, CARMEL, IN 46032-7101
(317) 573-5437
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
(317) 842-5911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
02/14/2022
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