Individual
MISS JENNIFER LYNN MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
111 CLEBOURNE ST STE 200, FORT MILL, SC 29715-1760
(704) 363-3777
Mailing address
7809 SARDIS RD, CHARLOTTE, NC 28270-2757
(908) 313-5819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002390
VA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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