Lilyanna Madison Carranza-Lugg
Behavior Technician in San Francisco, CA. Individual provider (NPI-1).
NPI number1063004331
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1063004331
- Entity type
- Individual (NPI-1)
- Name
- Lilyanna Madison Carranza-Lugg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 7, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
795 Folsom St Fl 1San Francisco, CA 94107-4226
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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