Cook, Lacey
Cook, Lacey is an individual health care provider with primary practice located at 3105 Independence St Ste B , Cape Girardeau MO 63703-5042. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Cook, Lacey can be contacted via phone (573) 334-4477.Contact Information
Primary practice address
3105 Independence St Ste B
Cape Girardeau MO 63703-5042
Phone: (573) 334-4477
Fax: (573) 334-0622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2018033383 | Missouri |
Profile Details
| NPI number | 1568093219 |
|---|---|
| LBN Legal business name | Cook, Lacey |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2020 |
| Last updated | Jan 31st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568093219 | NPPES |
| Missouri | Other | 2018033383 | MO DIVISION OF PROFESSIONAL REGISTRY |
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