Individual provider · Type 1 NPI

Lacy Marie Wolter, MA, BCBA

Behavior Analyst · South Bend, IN

NPI number 1457738270 Active

Practice location

17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512

Call (574) 400-2169 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-16-24012 (IN)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1457738270

Lacy Marie Wolter, MA, BCBA's National Provider Identifier is 1457738270, issued on Apr 30, 2015. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in South Bend, IN. The record was last updated on Feb 25, 2022.