Provider Demographics
NPI:1437692944
Name:GEER, LUCY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:GEER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18738 PLANETREE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-8002
Mailing Address - Country:US
Mailing Address - Phone:407-404-0063
Mailing Address - Fax:
Practice Address - Street 1:6330 N CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4008
Practice Address - Country:US
Practice Address - Phone:757-233-0003
Practice Address - Fax:757-233-1669
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-18-31565103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0133002826OtherVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE #
FL14398641OtherCAQH #
FLBACB354216OtherBACB'S BCBA ID
FL1437692944OtherNPI #
FL1-18-31565OtherBACB'S BCBA CERTIFICATION #
FL019469900Medicaid