Individual
JIMMY W LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA, RBT
Contact information
Practice address
14510 W SHUMWAY DR STE 200, SUN CITY WEST, AZ 85375-5817
(623) 401-1232
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-267048
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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