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MRS. BREANNA LUCKY BCBA NPI 1326531625


NPI Information

NPI: 1326531625
Provider Name: MRS. BREANNA LUCKY, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
6455 S SHORE BLVD STE 400
LEAGUE CITY, TX
ZIP 77573
Phone: (855) 782-7822
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MRS. Breanna Lucky, BCBA is a behavior analyst in League City, TX. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. MRS. Breanna Lucky, BCBA NPI is 1326531625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6455 S SHORE BLVD STE 400
LEAGUE CITY, TX
ZIP 77573-525
Phone: (855) 782-7822

The enumeration date for this NPI number is 6/11/2018 and was last updated on 2/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior Technician18-04855TEXASNo
2103K00000XBehavior Analyst5608TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
118-04855MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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