Individual
ADA I LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W 227TH ST, BRONX, NY 10463-6709
(646) 555-5555
Mailing address
108 W 227TH ST, BRONX, NY 10463-6709
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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