Individual
MRS. LACEY CAIRISTIN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
299 HICKORY LAKE DR, ACWORTH, GA 30101-8752
(678) 628-3920
Mailing address
299 HICKORY LAKE DR, ACWORTH, GA 30101-8752
(678) 628-3920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-3360
—
Other
Enumeration date
03/22/2019
Last updated
11/29/2022
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