Lacey Mae Koch

Behavior Technician · Little Torch Key, FL

Individual Active NPI

NPI number 1093372898

Practice location

214 Blackbeard Rd
Little Torch Key, FL 33042-5536
Phone
(989) 339-0931

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NPI record

NPI
1093372898
Entity type
Individual (Type 1)
Enumeration date
May 28, 2019
Last updated
May 28, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-16-16114 —

About Lacey Koch

Lacey Mae Koch is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 214 Blackbeard Rd, Little Torch Key, FL 33042-5536. The NPI number 1093372898 was assigned on May 28, 2019 and the record was last updated on May 28, 2019.

Lacey Koch lists a license in the registry: #RBT-16-16114 for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lacey Mae Koch?

The NPI number is 1093372898.

What is the phone number of Lacey Koch?

The phone number listed for the practice location is (989) 339-0931.

Where is Lacey Koch located?

214 Blackbeard Rd, Little Torch Key, FL 33042-5536.

What is the taxonomy code for Lacey Koch?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.