LUCIUS THEODORE UNTALAN

SURPRISE, AZ
NPI1871441329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2026-03-19
Last Update Date2026-03-19
Business Address
LUCIUS THEODORE UNTALAN
15116 N COTTON LN
SURPRISE, AZ 85388-9618
Phone number: 623-322-8250
Mailing Address
LUCIUS THEODORE UNTALAN
15116 N COTTON LN
SURPRISE, AZ 85388-9618
Phone number: 623-322-8250