Individual
JASON JOHN LUJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHPP, PSS
Contact information
Practice address
8361, S APACHE LANE, YUMA, AZ 85364
(928) 750-7552
Mailing address
8361 S APACHE LN, YUMA, AZ 85364-8401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
AZ
175T00000X
Peer Specialist
Primary
—
AZ
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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