Healthcare Provider Details

I. General information

NPI: 1144146754
Provider Name (Legal Business Name): LUNAR ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10308 CAROLINA HILLS AVE
LAS VEGAS NV
89144-1211
US

IV. Provider business mailing address

10308 CAROLINA HILLS AVE
LAS VEGAS NV
89144-1211
US

V. Phone/Fax

Practice location:
  • Phone: 347-697-0881
  • Fax:
Mailing address:
  • Phone: 347-697-0881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAGDALENA LEKIC SALAMEH
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 347-697-0881