Individual
ADRIAN LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10604 OLD GROVE CIR, BRADENTON, FL 34212-2605
(941) 720-7862
Mailing address
10604 OLD GROVE CIR, BRADENTON, FL 34212-2605
(941) 720-7862
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000048508492
ND
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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