Ethan James Manville
NPI #1013774645 in San Luis Obispo, California
Provider Information
- NPI Number
- 1013774645
- Entity Type
- Individual
- Name
- Ethan James Manville
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 29, 2024
- Last Updated
- Feb 29, 2024
Practice Location
- Address
- 1212 MARSH ST
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-3346
- Phone
- (805) 665-6057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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