Individual
LACEY NICHOLE GROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
21 S PARK BLVD STE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
(317) 520-8200
Mailing address
6299 N ROSEWOOD DR, MCCORDSVILLE, IN 46055-8909
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45423
IN
Other
Enumeration date
02/11/2021
Last updated
05/13/2021
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