Individual
LACY KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
925 S DAKOTA AVE, SIOUX FALLS, SD 57104-4817
(605) 368-1612
Mailing address
925 S DAKOTA AVE, SIOUX FALLS, SD 57104-4817
(605) 368-1612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7148
—
Other
Enumeration date
08/31/2010
Last updated
07/01/2013
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