Individual
LACI RENEA BOXELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
80 COMMERCIAL RD, HUNTINGTON, IN 46750-8805
(260) 200-1043
(260) 471-0285
Mailing address
80 COMMERCIAL RD, HUNTINGTON, IN 46750-8805
(260) 200-1043
(260) 471-0285
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33162
IN
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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