NPI 1467687459

Derek Lucky

Practitioner Behavior Analyst Coeur D Alene, ID

Practice location

Address: 2831 N White Pines Dr, Coeur D Alene, ID 83815-6259
Phone: (208) 640-3538

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Idaho →

Registry record

NPI: 1467687459
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2009
Record last updated: 20 May 2009

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.