DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TABITHA LACY

MEDICARE: TABITHA LACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1598176331
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA LACY
Provider Business Mailing Address
First Line : 1218 GRIEGOS RD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-3752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 S MAYFLOWER AVE STE 220
Second Line :
City : MONROVIA
State : CA
Zip : 91016-5239
Country : US
Telephone Number : 818-241-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 07/01/2025

Similar Medicare Providers

1275237844 — GEOVANNY SANCHEZ CANELA
Practice Location Address:
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA
91016-5239
Practice Phone: 818-241-6780
Practice Fax:
1982538658 — COREY MOORE
Practice Location Address:
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA
91016-5239
Practice Phone: 818-241-6780
Practice Fax: 818-241-6780
1003382144 — DENEAN LYNN OVERTON-RUSSELL
Practice Location Address:
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA
91016-5239
Practice Phone: 888-805-0759
Practice Fax:
1174086888 — JAMILA PATRICE CLARK
Practice Location Address:
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA
91016-5239
Practice Phone: 661-429-0424
Practice Fax:
1528608254 — COURTNEY NELSON
Practice Location Address:
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA
91016-5239
Practice Phone: 818-241-6780
Practice Fax:
1184237364 — ESTEFANY ESPINOZA
Practice Location Address:
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA
91016-5239
Practice Phone: 855-295-3276
Practice Fax: 888-588-2752

Directions to “ TABITHA LACY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.