Individual
DAIFKA RUTH MANASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 GARNETT ST, LANTANA, FL 33462-4450
(561) 723-7334
Mailing address
890 GARNETT ST, LANTANA, FL 33462-4450
(561) 723-7334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-19-101920
FL
Other
Enumeration date
01/11/2020
Last updated
09/07/2023
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