Individual
UNIQUE ANYAE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PASTURE LN UNIT 601, LAUREL, DE 19956-1678
(443) 440-2775
Mailing address
600 PASTURE LN UNIT 601, LAUREL, DE 19956-1678
(443) 440-2775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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