LUCAS ANDREW BLACKETER

ORANGE, CA
NPI1619742459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
LUCAS ANDREW BLACKETER
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA 92868-5056
Phone number: 714-696-2862
Mailing Address
LUCAS ANDREW BLACKETER
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA 92868-5056
Phone number: 714-696-2862