Individual
JULIE D LUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4609 GRAPE RD STE D1B, MISHAWAKA, IN 46545-8259
(574) 217-1624
Mailing address
5776 GRAPE RD, PMB 171, MISHAWAKA, IN 46545
(574) 217-1624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79779
IN
106S00000X
Behavior Technician
RBT-17-29218
—
Other
Enumeration date
02/25/2019
Last updated
03/05/2025
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