Individual
KRISTINE MARIE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 JUNIPER AVE, LOS LUNAS, NM 87031-7019
(505) 415-0349
Mailing address
77 JUNIPER AVE, LOS LUNAS, NM 87031-7019
(505) 415-0349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
106E00000X
Assistant Behavior Analyst
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/11/2017
Last updated
12/18/2024
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