Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desiree Ava Lugo

Individual provider Behavior Technician · NPI 1871199554

Desiree Ava Lugo is a Behavior Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1811 Grand Canal Blvd
Stockton, CA 95207-8107
Phone: (209) 213-1124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1871199554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 8, 2020
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

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