Individual
KIMBERLY LUCCHESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
945 RIVER AVE, LAKEWOOD, NJ 08701-5659
(732) 833-3723
Mailing address
34 HIGHLAND AVE, HAZLET, NJ 07730-4042
(973) 903-2257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63451
NJ
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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