Individual
MRS. NICOLE DANIELLE MANASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4601 66TH ST W, APT. 1802B, BRADENTON, FL 34210-2632
(941) 932-2516
Mailing address
1902 49TH AVE W, BRADENTON, FL 34207-1953
(941) 932-2541
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-04-1475
FL
Other
Enumeration date
05/27/2008
Last updated
07/29/2020
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