MIA LIE CANNON

MODESTO, CA
NPI1144018896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-04-30
Last Update Date2025-04-30
Business Address
MIA LIE CANNON
605 STANDIFORD AVE STE B
MODESTO, CA 95350-1000
Phone number: 877-418-2978
Mailing Address
MIA LIE CANNON
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978