Individual
LUCAS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RBT
Contact information
Practice address
950 WINDHAM CT, BOARDMAN, OH 44512-5083
(330) 629-2955
Mailing address
950 WINDHAM CT, BOARDMAN, OH 44512-5083
(330) 629-2955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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