Individual
MICHAEL MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 SCHIFFERSTADT BLVD, FREDERICK, MD 21701-9100
(443) 254-0590
Mailing address
3201 W SPRINGS DR APT 101, ELLICOTT CITY, MD 21043-3286
(443) 254-0590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
04/01/2024
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