Austin L Lucas

NPI #1922618156 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1922618156
Entity Type: Individual
Name: Austin L Lucas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2020
Last Updated: Aug 3, 2020

Practice Location

Address: 2981 KANELL BLVD
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-4008
Phone: (573) 712-2902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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