Taylor Ryan Lucas Valid NPI
Individual provider · Behavior Technician · Benton Harbor, MI
- NPI
- 1821861931
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-10-31
- Last updated
- 2023-10-31
Practice location
1651 E Nickerson Ave
Benton Harbor, MI 49022-2469
(269) 876-5697