Individual
BEVERLY A LUCROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 E HICKORY ST STE 128, DENTON, TX 76205-4311
(910) 389-0597
Mailing address
608 E HICKORY ST STE 128, DENTON, TX 76205-4311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
TX
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106E00000X
N/A
TX
Enumeration date
10/19/2021
Last updated
11/06/2023
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