LACY MARIE WOLTER MA, BCBA
NPI 1457738270
Behavior Analyst in South Bend, IN

Q: What is Lacy Wolter's NPI number?

The NPI number for Lacy Wolter is 1457738270. It was assigned to this individual provider in the NPPES registry on April 30, 2015. The provider is also known as Lacy Marie Griessel.

Q: What is Lacy Wolter's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Lacy Wolter was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2015

17390 DUGDALE DR STE 100, SOUTH BEND, IN 46635(574) 400-2169(317) 520-8200 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lacy Marie Wolter Ma, Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACY MARIE WOLTER MA, BCBA (NPI 1457738270) is an individual behavior analyst provider in South Bend, Indiana, licensed in Indiana (1-16-24012) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1457738270

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameLACY MARIE WOLTERCredential: MA, BCBA

Location Address17390 DUGDALE DR STE 100South Bend, IN 46635-1512

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(574) 400-2169

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateApril 30, 2015

Last NPPES UpdateFebruary 25, 2022

NPPES CertifiedFebruary 25, 2022

✔ NPI 1457738270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in IN · 1-16-24012

Definition

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

17390 DUGDALE DR STE 100, South Bend, IN 46635

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Other Names 1

Other Name (5)Lacy Marie Griessel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLER WILLIAMS RBT

Behavior Technician