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NPI Code Detail

MEDICARE: JOSEF LUCKEY

MEDICARE: JOSEF LUCKEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1972444339
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEF LUCKEY
Provider Business Mailing Address
First Line : 26571 SIMMONS WAY
Second Line :
City : HEMET
State : CA
Zip : 92544-7489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4508 N SIERRA WAY
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92407-3854
Country : US
Telephone Number : 951-252-3391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/06/2026

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Directions to “ JOSEF LUCKEY ” Practice Location

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