Landry, Mia Rhiannon
Landry, Mia Rhiannon is an individual health care provider with primary practice located at 20 Moultrie St , Charleston SC 29403-4104. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Landry, Mia Rhiannon can be contacted via phone (603) 289-5658.Contact Information
Primary practice address
20 Moultrie St
Charleston SC 29403-4104
Phone: (603) 289-5658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-15-19061 | Massachusetts |
Profile Details
| NPI number | 1528438959 |
|---|---|
| LBN Legal business name | Landry, Mia Rhiannon |
| Credentials | M.S., BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2015 |
| Last updated | Apr 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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