IndividualActive
Lisa Lucas, 106S00000X
NPI 1104465624 · Behavior Technician · Jacksonville, FL
Provider details
- NPI number
- 1104465624
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- 106S00000X
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4624 Park St
Jacksonville, FL 32205-7327
Phone: (512) 545-9500
Street-level locationGet directions
Mailing address
8024 Southside Blvd Apt 183
Jacksonville, FL 32256-8023
Additional practice locations (1)
- 8024 Southside Blvd Apt 183Jacksonville, FL 32256-8023Phone: (512) 545-9500
Registry dates
- Enumerated
- 2020-01-01
- Last updated
- 2020-01-01
- Certified
- 2020-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.