NPI 1013795186

Summer Teann Lacy

Practitioner Behavior Technician Russellville, AR

Practice location

Address: 301 N Sidney Ave, Russellville, AR 72801-4383
Phone: (479) 890-5494

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1013795186
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2023
Record last updated: 9 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.