Individual
KAYLIA DAWN LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
(440) 641-1170
Mailing address
170 FAIRLAWN AVE, ELYRIA, OH 44035-6112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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