Individual
LUCAS SPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
9 LINDA LN, CAPE MAY, NJ 08204-5117
(609) 827-4361
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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