Tracey Martin-Lucas
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1750913232
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1750913232
- Entity type
- Individual (NPI-1)
- Name
- Tracey Martin-Lucas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
Phone 248-238-3171
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
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