Individual
JENNIFER MICHELL MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
879 W 190TH ST STE 1000, GARDENA, CA 90248-4255
(310) 819-4523
Mailing address
879 W 190TH ST STE 1000, GARDENA, CA 90248-4255
(310) 819-4523
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
07/03/2025
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