LISA LUCAS, 106S00000X

Behavior Technician

Active Individual
NPI: 1104465624

Practice Address

4624 PARK ST
Jacksonville, FL 32205

Phone: (512) 545-9500

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1104465624 is the National Provider Identifier for LISA LUCAS, 106S00000X, a Behavior Technician provider located in Jacksonville, FL. This NPI was enumerated on January 1, 2020.
LISA LUCAS, 106S00000X practices at 4624 PARK ST, Jacksonville, FL 32205.

Quick Facts

NPI
1104465624
Type
Individual
Enumerated
Jan 1, 2020
Last Updated
Jan 1, 2020

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