Individual
HANNAH OLIVIA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(978) 750-1048
Mailing address
14 EASTERN AVE APT 2, GLOUCESTER, MA 01930-3002
(978) 844-6759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206705798
—
MA
Enumeration date
02/04/2018
Last updated
02/04/2018
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