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1124787510
LACEY R SHAW
GREENVILLE, SC
NPI
1124787510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-22-59042)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-12-13
Last Update Date
2023-10-30
Business Address
LACEY R SHAW
10 ARBORLAND WAY
GREENVILLE, SC 29615-2201
Phone number: 864-520-1614
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Mailing Address
LACEY R SHAW
7500 SAN FELIPE ST STE 990
HOUSTON, TX 77063-1708
Phone number: 281-826-3382
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