Georgia Florence Lucas
Behavior Technician in Newton, MA. Individual provider (NPI-1).
NPI number1164094173
StatusActive
Last updated in NPPESJul 11, 2021
Details
- NPI
- 1164094173
- Entity type
- Individual (NPI-1)
- Name
- Georgia Florence Lucas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2021
- Certification date
- Jul 11, 2021
- Last updated
- Jul 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
109 Oak St Ste G20Newton, MA 02464-1492
Phone 617-658-5611
Mailing address
9 Windmill LnWestwood, MA 02090-2951
Phone 617-943-2497
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