Luke Christian Detlor

NPI #1861059156 in Hudson, Florida

Provider Information

NPI Number: 1861059156
Entity Type: Individual
Name: Luke Christian Detlor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 22, 2019
Last Updated: May 22, 2019

Practice Location

Address: 11820 DENTON AVE
City: Hudson
State: Florida
ZIP Code: 34667-5419
Phone: (727) 862-9101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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