Individual
MARIAH LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 KELLER PKWY STE 108136, KELLER, TX 76248-3686
(682) 593-3182
(817) 438-1426
Mailing address
1540 KELLER PKWY STE 108136, KELLER, TX 76248-3686
(682) 593-3182
(817) 438-1426
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31192
TX
Other
Enumeration date
03/23/2018
Last updated
03/29/2025
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