Individual
CLARA LUNA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(855) 832-6727
Mailing address
136 ROAD 5117, BLOOMFIELD, NM 87413-9798
(714) 852-9652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-224029
CA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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