Individual
LACEY MARIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3042 MCKINLEY AVE, COLUMBUS, OH 43204-3653
(614) 487-7805
(614) 487-7809
Mailing address
740 BRIXHAM RD, COLUMBUS, OH 43204-1002
(614) 596-4150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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