Mariah S Powell, HIGH SCHOOL DIPLOMA

NPI #1730655549 in Cupertino, California

Provider Information

NPI Number: 1730655549
Entity Type: Individual
Name: Mariah S Powell, HIGH SCHOOL DIPLOMA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: HIGH SCHOOL DIPLOMA
Enumeration Date: Oct 18, 2018
Last Updated: Oct 18, 2018

Practice Location

Address: 1601 S DE ANZA BLVD STE 110
City: Cupertino
State: California
ZIP Code: 95014-5358
Phone: (669) 258-9059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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