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Individual

LACEY NICHOLE GROCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
1806 IN 234, FORTVILLE, IN 46040
(913) 747-5514
Mailing address
1806 IN 234, FORTVILLE, IN 46040

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45423
IN

Other

Enumeration date
02/11/2021
Last updated
08/12/2026
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