Individual
AMANDA LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RBT
Contact information
Practice address
5767 COVE COMMONS DR SE, BROWNSBORO, AL 35741-9744
(866) 522-2467
Mailing address
5767 COVE COMMONS DR SE STE 5, BROWNSBORO, AL 35741-9744
(866) 542-2467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
10/15/2012
Last updated
10/28/2025
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