Mathis, Lacey
Mathis, Lacey is an individual health care provider with primary practice located at 535 Riverstone Pkwy Ste 101 , Canton GA 30114-2566. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mathis, Lacey can be contacted via phone (470) 863-3090.Contact Information
Primary practice address
535 Riverstone Pkwy Ste 101
Canton GA 30114-2566
Phone: (470) 863-3090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1598304750 |
|---|---|
| LBN Legal business name | Mathis, Lacey |
| Credentials | MA, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2020 |
| Last updated | Oct 4th, 2021 - about 3 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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