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Individual

ANNALIESE MAUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1160 PITTSFORD VICTOR RD STE B, PITTSFORD, NY 14534-3825
(585) 498-1840
Mailing address
38F HOBBES LN, ROCHESTER, NY 14624-1239
(920) 515-9305

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410499

Other

Enumeration date
09/15/2025
Last updated
09/15/2025
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