Individual
LACEY MARIE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 JUSTIN RD, ROCKWALL, TX 75087-4822
(469) 965-1504
Mailing address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80930
—
Other
Enumeration date
09/28/2022
Last updated
04/29/2025
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