Provider Demographics
NPI:1730982562
Name:LUCHINS, CHANNA B
Entity type:Individual
Prefix:
First Name:CHANNA
Middle Name:B
Last Name:LUCHINS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ASH ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1546
Mailing Address - Country:US
Mailing Address - Phone:570-829-9407
Mailing Address - Fax:
Practice Address - Street 1:2000 ASH ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-1546
Practice Address - Country:US
Practice Address - Phone:570-829-9407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician