Individual
YANISA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 978-4305
Mailing address
2369 1ST AVE, NEW YORK, NY 10035-3401
(917) 902-6684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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