Larisa Ayn Manzo, BCBA

NPI #1184198418 in Chantilly, Virginia

Provider Information

NPI Number: 1184198418
Entity Type: Individual
Name: Larisa Ayn Manzo, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 21, 2019
Last Updated: Mar 19, 2024

Practice Location

Address: 3855 CENTERVIEW DR STE 400B
City: Chantilly
State: Virginia
ZIP Code: 20151-3285
Phone: (854) 844-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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