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Individual

CRISTA MANIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14020 SANDY OAK RD, CHESTER, VA 23831-6749
(804) 332-1940
Mailing address
PO BOX 2748, CHESTER, VA 23831-8452
(804) 332-1940

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
116
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116
POSITIVE BEHAVIOR SUPPORT FACILITATOR (PBSF) THERAPEUTIC CONSULTATION
VA
Enumeration date
01/09/2014
Last updated
01/09/2014
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