Individual
JESSICA LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7875 NW 12TH ST STE 109, DORAL, FL 33126-1815
(786) 269-3502
(305) 468-6154
Mailing address
9878 NW 51ST TER, DORAL, FL 33178-1911
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11542
FL
Other
Enumeration date
08/30/2017
Last updated
11/11/2020
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