Individual
MIA RHIANNON LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
20 MOULTRIE ST, CHARLESTON, SC 29403-4104
(603) 289-5658
Mailing address
20 MOULTRIE ST, CHARLESTON, SC 29403-4104
(603) 289-5658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19061
MA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/28/2015
Last updated
04/02/2024
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