Individual
MICHAEL LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(312) 725-9984
(312) 277-5805
Mailing address
8609 W BRYN MAWR AVE, CHICAGO, IL 60631-3524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
11/08/2023
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