Individual
OLIVIA LACEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5446 N ACADEMY BLVD STE 105, COLORADO SPRINGS, CO 80918-3668
(719) 598-5555
Mailing address
904 MOUNTAIN LION CIR STE 500, HARKER HEIGHTS, TX 76548-5725
(800) 345-0448
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/21/2017
Last updated
04/21/2023
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