Individual
ALEXANDRA LUTTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 GENESEE ST, UTICA, NY 13502-6003
(315) 797-6241
Mailing address
8548 FARM GATE PATH, CICERO, NY 13039-8843
(315) 466-6576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-12643
NY
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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