Lucas Andrew Blacketer
Lucas Andrew Blacketer is a Behavior Technician in Orange, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1820 W Orangewood Ave Ste 110Orange, CA 92868-5056
Phone: (714) 696-2862
Fax: (714) 242-9308
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1619742459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 21, 2023 |
| Last updated in NPPES | November 21, 2023 |
| Certification date | November 21, 2023 |
| Mailing address | 1820 W Orangewood Ave Ste 110, Orange, CA 92868-5056 |
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