Individual
NICOLE A LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 ASHLEY FOREST DR, HIXSON, TN 37343-3209
(423) 509-2007
Mailing address
1611 PRIGMORE RD, CHATTANOOGA, TN 37412-3064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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