Individual
LACEY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 NW EXPRESSWAY STE 200, OKLAHOMA CITY, OK 73112-5466
(405) 383-9001
(405) 222-5441
Mailing address
303O NORTHWEST EXPRESSWAY, OKLAHOMA CITY, OK 73113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
08/03/2023
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