Individual
BRENDA MOCTEZUMA MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
7903 PROVIDENCE RD, CHARLOTTE, NC 28277-9720
(704) 440-3580
Mailing address
2923 WILD DUCK CT, CHARLOTTE, NC 28262-2609
(704) 751-7763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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