IndividualActive
Alyssa Lacey
NPI 1700630126 · Behavior Technician · Owasso, OK
Provider details
- NPI number
- 1700630126
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11412 N 134th East Ave Ste C3
Owasso, OK 74055-4969
Phone: (918) 376-3087
Approximate (ZIP-level) locationGet directions
Mailing address
11412 N 134th East Ave Ste C3
Owasso, OK 74055-4969
Registry dates
- Enumerated
- 2024-04-12
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.