Individual
MORIAH CONSTANCE MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 AVENUE C, WILLISTON, VT 05495-7840
(802) 662-7831
Mailing address
263 KING RD, BAKERSFIELD, VT 05441-9749
(802) 752-5130
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1470123010
VT
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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