MR. Derek Lucky

NPI #1467687459 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1467687459
Entity Type: Individual
Name: MR. Derek Lucky
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 2831 N WHITE PINES DR
City: Coeur D Alene
State: Idaho
ZIP Code: 83815-6259
Phone: (208) 640-3538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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