Virginia Luck
Behavior Technician in Gulf Shores, AL. Individual provider (NPI-1).
NPI number1164026183
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1164026183
- Entity type
- Individual (NPI-1)
- Name
- Virginia Luck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
200 Office Park DrGulf Shores, AL 36542-3432
Phone 251-609-5199
Mailing address
830 Bishops CtBirmingham, AL 35242-7017
Phone 205-253-6903
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