Individual
MRS. THERESA LUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SC
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000831
PA
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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