Lacee Dian Maslanka
Behavior Technician in Belleville, IL. Individual provider (NPI-1).
NPI number1164026993
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1164026993
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lacee Dian Maslanka
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2020
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2408 Chippendale DrBelleville, IL 62221
Phone 618-550-6606
Mailing address
2408 Chippendale DrBelleville, IL 62221
Phone 618-550-6606
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All 13 Behavior Technician providers in Belleville · All 1,953 providers in Belleville
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