Individual
MS. MICHELLE LAUREN MANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
7001B LOISDALE RD, SPRINGFIELD, VA 22150-1904
(240) 297-3550
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB521290
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/25/2019
Last updated
04/20/2023
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