MISS Stephanie L Manning

NPI #1942849542 in Shiprock, New Mexico

Provider Information

NPI Number: 1942849542
Entity Type: Individual
Name: MISS Stephanie L Manning
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 30, 2019
Last Updated: Dec 30, 2019

Practice Location

Address: TACHIINII BLVD TAN HOUSE WITH GREY ROOF
City: Shiprock
State: New Mexico
ZIP Code: 87420-2967
Phone: (505) 716-3596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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