Laetitia Marie Lucero
Behavior Technician
17c Lomas De La Cruz
Española
, New Mexico 87532-9048
Laetitia Marie Lucero
Behavior Technician
17c Lomas De La Cruz
Española
, New Mexico 87532-9048
(505) 929-4848
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Laetitia Marie Lucero
- Po Box 3994
- Espanola, NM
- Zip : 87533-3994
- Phone : (505) 929-4848
Second Address
- Laetitia Marie Lucero
- 17c Lomas De La Cruz
- Espanola, NM
- Zip : 87532-9048
- Phone : (505) 929-4848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | NM |
National Provider Identifier
| NPI | 1003424995 |
|---|---|
| Provider Name | Laetitia Marie Lucero |
| First Address | Espanola, NM 87533-3994 |
| Second Address | Espanola, NM 87532-9048 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2020 |
| Last Update Date | 07/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.