Individual
MR. SANTIAGO M MANITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3413 E 17TH AVE, ANCHORAGE, AK 99508-3358
(907) 646-4084
(907) 644-9975
Mailing address
3413 E 17TH AVE, ANCHORAGE, AK 99508-3358
(907) 646-4084
(907) 644-9975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
911629
AK
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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