Individual
MR. GREGORY MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.BCBA, LBA
Contact information
Practice address
91-1159 KAMAKANA ST APT 120, EWA BEACH, HI 96706-2023
(808) 721-8386
Mailing address
91-1159 KAMAKANA ST APT 120, EWA BEACH, HI 96706-2023
(808) 721-8386
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-6693
HI
103K00000X
Behavior Analyst
Primary
BA-90
HI
Other
Enumeration date
11/14/2010
Last updated
11/12/2022
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