Individual
DELAYA REVAE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 CALLE DE ORTIZ SW, LOS LUNAS, NM 87031-8421
(505) 453-0653
Mailing address
2230 CALLE DE ORTIZ SW, LOS LUNAS, NM 87031-8421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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