Individual
ODESSA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D
Contact information
Practice address
151 8TH ST S RM 115, SAINT CLOUD, MN 56301-4423
(320) 308-4167
Mailing address
1216 8TH AVE SE, SAINT CLOUD, MN 56304-1604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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