Individual
MIA DASCHYLL LANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 GROVE ST, WORCESTER, MA 01605-3909
(818) 241-6780
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3951
MA
Other
Enumeration date
09/07/2017
Last updated
06/29/2023
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