Individual
BRANDON RYAN LUONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 LONGFELLOW DR, KINGS PARK, NY 11754-2320
(631) 978-1532
Mailing address
63 LONGFELLOW DR, KINGS PARK, NY 11754-2320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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