Individual
LACI MARIE EHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8898 W 109TH ST S, PRAIRIE CITY, IA 50228-8416
(580) 362-6404
Mailing address
8898 W 109TH ST S, PRAIRIE CITY, IA 50228-8416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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