Individual
MISS ASHLEY MARIE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Mailing address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8608
—
Other
Enumeration date
08/15/2011
Last updated
10/28/2021
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