Individual
MS. KAYCIE STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 RYAN ST, FARRAR HALL, RM. 151, LAKE CHARLES, LA 70605-4511
(337) 562-4246
(337) 562-4221
Mailing address
4205 RYAN ST, FARRAR HALL, RM. 151, LAKE CHARLES, LA 70605-4511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-31-13332
LA
Other
Enumeration date
03/19/2013
Last updated
09/26/2022
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