Individual
KASIDI K LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(805) 915-9912
Mailing address
1614 IRWIN ST, CHULA VISTA, CA 91913
(619) 907-8834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
04/29/2025
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