Provider Demographics
NPI:1164200853
Name:LUCIO & LUCAS CORP
Entity type:Organization
Organization Name:LUCIO & LUCAS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AYNOLI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREU DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-979-8078
Mailing Address - Street 1:680 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-3904
Mailing Address - Country:US
Mailing Address - Phone:561-335-7600
Mailing Address - Fax:
Practice Address - Street 1:680 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-3904
Practice Address - Country:US
Practice Address - Phone:561-335-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty