Individual
LINDSAY ICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QASP-S
Contact information
Practice address
128 PINEDALE DR, RAPID CITY, SD 57702-1948
(605) 786-2033
Mailing address
128 PINEDALE DR, RAPID CITY, SD 57702-1948
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/20/2019
Last updated
05/11/2020
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