Individual
SAMANTHA LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 COLUMBINE AVE NE, ALBUQUERQUE, NM 87113-2236
(505) 508-0865
Mailing address
4600 COLUMBINE AVE NE, ALBUQUERQUE, NM 87113-2236
(505) 508-0865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/14/2026
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