Individual
MANON TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15120 S VAQUERO CIR, PO BOX 2782, ARIZONA CITY, AZ 85123-6369
(541) 514-4620
Mailing address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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