Lackey, Lisa

Lackey, Lisa is an individual health care provider with primary practice located at 4525 S College Ave , Tempe AZ 85282. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Lackey, Lisa can be contacted via phone (866) 727-8274.

Contact Information

Primary practice address
4525 S College Ave Tempe AZ 85282
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-17888 California

Profile Details

NPI number 1285022236
LBN Legal business name Lackey, Lisa
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2014
Last updated Jun 21st, 2019 - about 6 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.

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