Individual
COLLEEN MELINDA MANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Mailing address
1473 W 15TH ST, UPLAND, CA 91786-2147
(909) 739-4582
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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