Imani Uriel Lucas Valid NPI
Individual provider · Behavior Technician · Hermosa Beach, CA
- NPI
- 1376298109
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- 00016733 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-02-21
- Last updated
- 2022-03-08
Practice location
1601 Pacific Coast Hwy Ste 175
Hermosa Beach, CA 90254-3270
(213) 320-7037