Individual
MISS DESIREE QUYNH ANH LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.ED
Contact information
Practice address
344 FAIRMOUNT AVE, SANTA CRUZ, CA 95062-1120
(831) 316-4699
Mailing address
344 FAIRMOUNT AVE., SANTA CRUZ, CA 95062
(831) 316-4699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
07/21/2022
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