Individual
ANJELISA SASSIA MILLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5022 TENNYSON PKWY, PLANO, TX 75024-3151
(661) 937-4713
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(661) 937-4713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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