Kaelan Rose Lucas

NPI #1306567052 in Mendota Heights, Minnesota

Provider Information

NPI Number
1306567052
Entity Type
Individual
Name
Kaelan Rose Lucas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 9, 2022
Last Updated
Sep 9, 2022

Practice Location

Address
1160 CENTRE POINTE DR STE 7
ZIP Code
55120-1377
Phone
(952) 215-3754

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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