Lacy, Jacqueline
Lacy, Jacqueline is an individual health care provider with primary practice located at 73800 Agave Ln , Palm Desert CA 92260-6690. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lacy, Jacqueline can be contacted via phone (760) 567-9372.Contact Information
Primary practice address
73800 Agave Ln
Palm Desert CA 92260-6690
Phone: (760) 567-9372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1649861519 |
|---|---|
| LBN Legal business name | Lacy, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | Feb 2nd, 2021 - about 4 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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