MEDICARE: LUNA MAY CHESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CO

General Provider Information

NPI Number	:	1619855541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUNA MAY CHESTER

Provider Business Mailing Address
First Line	:	2270 LA MONTANA WAY
Second Line	:	2270 LA MONTANA WAY
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918
Country	:	US
Telephone Number	:	719-822-4015
Fax Number	:

Provider Business Practice Location Address
First Line	:	2270 LA MONTANA WAY
Second Line	:	2270 LA MONTANA WAY
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8091
Country	:	US
Telephone Number	:	719-579-6440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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