Organization
BRAINTEK INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MANESS PH.D. (OWNER)
(858) 735-4888
Entity
Organization
Contact information
Practice address
3978 SORRENTO VALLEY BLVD, SUITE 310, SAN DIEGO, CA 92121-1436
(858) 735-4888
(858) 385-0222
Mailing address
3978 SORRENTO VALLEY BLVD, SUITE 310, SAN DIEGO, CA 92121-1436
(858) 735-4888
(858) 385-0222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2457 BCN
CA
103K00000X
Behavior Analyst
2457 BCN
CA
103T00000X
Psychologist
2457 BCN
CA
111NR0400X
Rehabilitation Chiropractor
2457 BCN
CA
172M00000X
Mechanotherapist
Primary
2457 BCN
CA
174400000X
Specialist
2457 BCN
CA
175F00000X
Naturopath
2457 BCN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2457 BCN
BOARD CERTIFIED NEUROTHERAPIST
CA
Enumeration date
04/29/2013
Last updated
06/06/2013
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