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1346704608
LACY FONTENOT
KNOXVILLE, TN
NPI
1346704608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TN 1029)
Enumeration Date
2019-01-30
Last Update Date
2024-03-11
Business Address
LACY FONTENOT BCBA, LBA
11121 KINGSTON PIKE STE F
KNOXVILLE, TN 37934-2864
Phone number: 865-328-0841
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Mailing Address
LACY FONTENOT BCBA, LBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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