Individual
LUCERO TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1178 BROADWAY, NEW YORK, NY 10001-5404
(917) 284-9393
(917) 284-9393
Mailing address
68 BRADHURST AVE # 2W, NEW YORK, NY 10039-3304
(917) 284-9393
(917) 284-9393
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00021644
NY
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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