Most Relevant Information
Provider Data
| NPI Number: | 1003539685 |
| Provider Name: | KIMBERLY LUCAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2022 |
| Last Updated: | 09/20/2022 |
Provider Practice Location
1101 S WINCHESTER BLVD # B-1101
SAN JOSE
CA
951283901
Practice Location Phone/Fax
| Phone: | 4084841028 |
| Fax: |
Provider Mailing Location
1101 S WINCHESTER BLVD # B-1101
SAN JOSE
CA
951283901
Provider Mailing Phone/Fax
| Phone: | 4084841028 |
| Fax: |