Kourtney Lucas

NPI #1093512428 in Vinita, Oklahoma

Provider Information

NPI Number: 1093512428
Entity Type: Individual
Name: Kourtney Lucas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 25, 2025
Last Updated: Feb 25, 2025

Practice Location

Address: 116 S WILSON ST
City: Vinita
State: Oklahoma
ZIP Code: 74301-3730
Phone: (918) 542-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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