Healthcare Provider Details

I. General information

NPI: 1124483581
Provider Name (Legal Business Name): CATHERINE LUCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 04/19/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 PARK CENTER DR UNIT 7
ORLANDO FL
32835-5700
US

IV. Provider business mailing address

412 N SUMMERLIN AVE
ORLANDO FL
32803-5365
US

V. Phone/Fax

Practice location:
  • Phone: 407-730-3554
  • Fax:
Mailing address:
  • Phone: 407-782-7772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-14-6153
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: