Whalio Doctors

NPI 1003424995

Laetitia Marie Lucero

Practitioner Behavior Technician Espanola, NM

Practice location

Address
17c Lomas de La Cruz, Espanola, NM 87532-9048
Phone
(505) 929-4848
Mailing address
PO Box 3994, Espanola, NM 87533-3994

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003424995
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jul 2020
Record last updated
7 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.