Luckenia Jean
NPI #1205663515 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1205663515
- Entity Type
- Individual
- Name
- Luckenia Jean
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 19, 2024
- Last Updated
- Sep 19, 2024
Practice Location
- Address
- 375 WESTGATE DR
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-1818
- Phone
- (866) 727-8274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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