| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATHAN LUGO | 1912612987 | 2023-01-13 |
Nathan Lugo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912612987. Registration indicates Nathan Lugo is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Nathan Lugo |
| Practice Office Address | 16782 VON KARMAN AVE STE 11 IRVINE, CA US |
| Practice Office Telephone | 8552237123 |
| Mailing Address | 16782 VON KARMAN AVE STE 11 IRVINE, CA 926062417 US |
| Business Telephone | 8552237123 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |