DEJA LUCKETT
Behavior Technician
Active
Individual
NPI: 1548136096
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | RBT-25-477669 (IL) |
Frequently Asked Questions
NPI 1548136096 is the National Provider Identifier for DEJA LUCKETT, a Behavior Technician provider located in Springfield, IL. This NPI was enumerated on October 13, 2025.
DEJA LUCKETT practices at 614 N 6TH ST, Springfield, IL 62702.
Quick Facts
- NPI
- 1548136096
- Type
- Individual
- Enumerated
- Oct 13, 2025
- Last Updated
- Oct 13, 2025
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