Individual
MAYUMI CRISTINA LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
4003 W STAN SCHLUETER LOOP, KILLEEN, TX 76549-6119
(818) 345-2345
(254) 213-1705
Mailing address
1007 CONCHO ST, BELTON, TX 76513-3792
(254) 422-4825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5963
TX
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7131995555
NA
TX
01
—
7131995555
NA
—
Enumeration date
04/19/2019
Last updated
10/30/2023
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