Ashley Breanne Lucas
Behavior Technician in Oakland, CA. Individual provider (NPI-1).
NPI number1982256517
StatusActive
Last updated in NPPESJul 13, 2019
Details
- NPI
- 1982256517
- Entity type
- Individual (NPI-1)
- Name
- Ashley Breanne Lucas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2019
- Last updated
- Jul 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
400 29th St Ste 204Oakland, CA 94609-3547
Phone 510-679-3545
Mailing address
1788 Sumac CtBrentwood, CA 94513-2344
Phone 209-740-0360
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