Individual
KAITLYN LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 S LABURNUM AVE, HENRICO, VA 23231-4418
(804) 737-3917
Mailing address
5663 S LABURNUM AVE, HENRICO, VA 23231-4418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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