Individual
ALISHA M MANCEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 ALABAMA AVE, JACKSONVILLE, FL 32218-2677
(904) 420-2304
Mailing address
45 ALABAMA AVE, JACKSONVILLE, FL 32218-2677
(904) 420-2304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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