Most Relevant Information
Provider Data
| NPI Number: | 1003516352 |
| Provider Name: | TERESA LUCERO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
3621 MARION LN
LAS CRUCES
NM
880127579
Practice Location Phone/Fax
| Phone: | 5755206074 |
| Fax: |
Provider Mailing Location
3621 MARION LN
LAS CRUCES
NM
880127579
Provider Mailing Phone/Fax
| Phone: | 5755206074 |
| Fax: |