MEDICARE: MRS. PAULA SUE LUSK

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1437006053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAULA SUE LUSK

Provider Business Mailing Address
First Line	:	912 GORDON ST
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 GORDON ST
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4572
Country	:	US
Telephone Number	:	516-713-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ MRS. PAULA SUE LUSK ” Practice Location

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