Andetzclair Alvarez Manansala

NPI #1063088060 in Lithia, Florida

Provider Information

NPI Number: 1063088060
Entity Type: Individual
Name: Andetzclair Alvarez Manansala
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 1, 2021
Last Updated: Jul 10, 2024

Practice Location

Address: 5454 LITHIA PINECREST RD
City: Lithia
State: Florida
ZIP Code: 33547-2853
Phone: (813) 467-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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