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NPI Code Detail

MEDICARE: MARY QUEISSER-DANIELS

MEDICARE:   MARY  QUEISSER-DANIELS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1417363425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY QUEISSER-DANIELS
Provider Business Mailing Address
First Line : 1301 E ORANGEWOOD AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6807
Country : US
Telephone Number : 800-249-1266
Fax Number :
Provider Business Practice Location Address
First Line : 418 CENTRE ST UNIT C
Second Line :
City : BOSTON
State : MA
Zip : 02130-5197
Country : US
Telephone Number : 800-249-1266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2014
Last Update Date : 12/14/2023

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Directions to “ MARY QUEISSER-DANIELS ” Practice Location

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