Erika Lynn Manesse

NPI #1104586494 in Pleasant Grove, Utah

Provider Information

NPI Number: 1104586494
Entity Type: Individual
Name: Erika Lynn Manesse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 28, 2021
Last Updated: Jun 20, 2022

Practice Location

Address: 533 W STATE RD STE 103
City: Pleasant Grove
State: Utah
ZIP Code: 84062-2114
Phone: (435) 263-0869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Community Health Worker	172V00000X

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