Lacey Mathis, MA, BCBA

Behavior Analyst · Canton, GA

Individual Active NPI

NPI number 1598304750

Practice location

535 Riverstone Pkwy Ste 101
Canton, GA 30114-2566
Phone
(470) 863-3090

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NPI record

NPI
1598304750
Entity type
Individual (Type 1)
Enumeration date
January 4, 2020
Last updated
October 4, 2021
Certified
October 4, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Other practice locations (1)

  • 7108 S Kanner Hwy, Stuart, FL 34997-7462 · (855) 832-6727

About Lacey Mathis

Lacey Mathis, MA, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566. The NPI number 1598304750 was assigned on January 4, 2020 and the record was last updated on October 4, 2021.

Frequently asked questions

What is the NPI number of Lacey Mathis, MA, BCBA?

The NPI number is 1598304750.

What is the phone number of Lacey Mathis?

The phone number listed for the practice location is (470) 863-3090.

Where is Lacey Mathis located?

535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566.

What is the taxonomy code for Lacey Mathis?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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.

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