Individual
LANDRIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2086 JODECO RD # 1075, MCDONOUGH, GA 30253-5220
(770) 695-9817
Mailing address
2086 JODECO RD # 1075, MCDONOUGH, GA 30253-5220
(770) 695-9817
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51350
GA
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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