Tiandre Luckey
Tiandre Luckey is a Behavior Technician in San Jose, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4030 Moorpark Ave Ste 105San Jose, CA 95117-1848
Phone: (669) 205-1778
Fax: (855) 568-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1467026427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 14, 2021 |
| Last updated in NPPES | May 14, 2021 |
| Certification date | May 14, 2021 |
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