Lacie Thacker
Behavior Technician in Camarillo, CA. Individual provider (NPI-1).
NPI number1699442004
StatusActive
Last updated in NPPESAug 24, 2021
Details
- NPI
- 1699442004
- Entity type
- Individual (NPI-1)
- Name
- Lacie Thacker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2021
- Certification date
- Aug 24, 2021
- Last updated
- Aug 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
400 W Ventura Blvd Ste 230Camarillo, CA 93010-9142
Phone 858-264-5858 · Fax 858-649-6012
Mailing address
617 Las Posas Rd Apt 108Camarillo, CA 93010-5718
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All 311 Behavior Technician providers in Camarillo · All 3,194 providers in Camarillo
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