Lucas Gabriel Mcgraw

NPI #1760187116 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1760187116
Entity Type: Individual
Name: Lucas Gabriel Mcgraw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 4, 2023
Last Updated: Apr 4, 2023

Practice Location

Address: 308 N ASPEN AVE
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-2205
Phone: (469) 892-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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