Individual
LACEY (CICI) FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 LEE AVE, DONALDSONVILLE, LA 70346-2719
(225) 323-7401
Mailing address
123 LEE AVE, DONALDSONVILLE, LA 70346-2719
(225) 323-7401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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