Individual
MISS CAMERON ELAINE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
2701 COOSA COUNTY ROAD 49, GOODWATER, AL 35072-6309
(256) 404-6669
Mailing address
2701 COOSA COUNTY ROAD 49, GOODWATER, AL 35072-6309
(256) 404-6669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12293
AL
103K00000X
Behavior Analyst
2023-016
AL
Other
Enumeration date
03/18/2013
Last updated
09/18/2023
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