Tyler Manis, RBT

NPI #1104410638 in Kokomo, Indiana

Provider Information

NPI Number: 1104410638
Entity Type: Individual
Name: Tyler Manis, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 25, 2021
Last Updated: Feb 25, 2021

Practice Location

Address: 1558 E BOULEVARD STE A
City: Kokomo
State: Indiana
ZIP Code: 46902-2587
Phone: (765) 252-0530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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