Individual
ZIJIE MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1823 KENTUCKY ST, LAWRENCE, KS 66044-4127
(785) 979-8876
Mailing address
2600 W 6TH ST APT A4, LAWRENCE, KS 66049-4320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
114646
IA
Other
Enumeration date
09/16/2019
Last updated
10/05/2022
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