Individual
SHELLY LYNNE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
46 ORLANDO DR, SICKLERVILLE, NJ 08081-4484
(856) 740-1920
Mailing address
46 ORLANDO DR, SICKLERVILLE, NJ 08081-4484
(856) 740-1920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-7987
FL
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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