Individual
MICHELLE LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 GREEN VALLEY RD, STATEN ISLAND, NY 10312-1821
(718) 838-8985
Mailing address
46 GREEN VALLEY RD, STATEN ISLAND, NY 10312-1821
(718) 838-8985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/06/2024
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