Individual
LACEY LEBLANC ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, BCBA-D
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-3900
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
1175
LA
Other
Enumeration date
09/24/2010
Last updated
12/22/2020
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