Shivell Luckett, RBT
Behavior Technician in Indianapolis, IN. Individual provider (NPI-1).
NPI number1760972764
StatusActive
Last updated in NPPESMay 15, 2018
Details
- NPI
- 1760972764
- Entity type
- Individual (NPI-1)
- Name
- Shivell Luckett
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2018
- Last updated
- May 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-17-36051 | – | Yes |
Practice location
9905 Fall Creek RdIndianapolis, IN 46256-4804
Phone 317-813-4690
Mailing address
9905 Fall Creek RdIndianapolis, IN 46256-4804
Phone 317-813-4690
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