Erica Angelina Lucero
Behavior Technician in Keller, TX. Individual provider (NPI-1).
NPI number1710693825
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1710693825
- Entity type
- Individual (NPI-1)
- Name
- Ms. Erica Angelina Lucero
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2023
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1901 S Main StKeller, TX 76248-5120
Phone 817-691-3283
Mailing address
1901 S Main StKeller, TX 76248-5120
Phone 817-691-3283
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