Individual
STEPHANIE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
(888) 383-0040
Mailing address
15373 INNOVATION DR, SAN DIEGO, CA 92128-3415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
07/02/2021
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