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Melisa M Lucca, RBT

Behavior Technician in Miami, FL. Individual provider (NPI-1).

NPI number1164031266
StatusActive
Last updated in NPPESFeb 5, 2024

Details

NPI
1164031266
Entity type
Individual (NPI-1)
Name
Melisa M Lucca
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 24, 2020
Certification date
Feb 5, 2024
Last updated
Feb 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-118555FLYes

Practice location

403 Nw 72nd Ave Apt 411
Miami, FL 33126-5817

Phone 786-419-7503

Mailing address

403 Nw 72nd Ave Apt 411
Miami, FL 33126-5817

Phone 786-419-7503

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