Organization
PHOENIX ABA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH LAND BCBA (OWNER)
(817) 948-9367
Entity
Organization
Contact information
Practice address
1540 KELLER PKWY STE 108136, KELLER, TX 76248-3686
(682) 593-3182
(817) 438-1426
Mailing address
3920 DREXMORE RD, FORT WORTH, TX 76244-8510
(817) 948-9367
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/29/2025
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