Mrs. Lacey Renee Conner
Behavior Technician
344 E 100 S
Salt Lake City
, Utah 84111-1700
Mrs. Lacey Renee Conner
Behavior Technician
344 E 100 S
Salt Lake City
, Utah 84111-1700
(800) 434-8923
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Mrs. Lacey Renee Conner
- 515 S 700 E Ste 2a
- Salt Lake City, UT
- Zip : 84102-2855
- Phone : (800) 434-8923
Second Address
- Mrs. Lacey Renee Conner
- 344 E 100 S
- Salt Lake City, UT
- Zip : 84111-1700
- Phone : (801) 322-3222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003398579 |
|---|---|
| Provider Name | Mrs. Lacey Renee Conner |
| First Address | Salt Lake City, UT 84102-2855 |
| Second Address | Salt Lake City, UT 84111-1700 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2018 |
| Last Update Date | 26/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.