Individual
LACEY ADAIRE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 N ACADEMY BLVD STE 278, COLORADO SPRINGS, CO 80909-1568
(719) 322-5137
Mailing address
112 SPRING ST UNIT 3, FAYETTEVILLE, NC 28305-4696
(678) 877-5026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
02/14/2020
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