Lucy Nora Carley
Behavior Technician in Springfield, IL. Individual provider (NPI-1).
NPI number1982189106
StatusActive
Last updated in NPPESFeb 19, 2020
Details
- NPI
- 1982189106
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lucy Nora Carley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2018
- Certification date
- Feb 19, 2020
- Last updated
- Feb 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IL | Yes |
Practice location
520 S 2nd StSpringfield, IL 62701-1735
Phone 217-416-0933
Mailing address
520 S 2nd StSpringfield, IL 62701-1735
Phone 217-416-0933
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