Tijuana Manuel

NPI #1013404128 in Florence, South Carolina

Provider Information

NPI Number: 1013404128
Entity Type: Individual
Name: Tijuana Manuel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 16, 2018
Last Updated: Apr 16, 2018

Practice Location

Address: 500 2ND LOOP RD STE 444
City: Florence
State: South Carolina
ZIP Code: 29505-2817
Phone: (803) 905-5107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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