Individual
PAIGE ELIZABETH MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14321 WINTER BREEZE DR STE 91, MIDLOTHIAN, VA 23113-2452
(980) 785-1113
(980) 785-1114
Mailing address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 596-3275
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001151
VA
106S00000X
Behavior Technician
RBT-15-06128
VA
Other
Enumeration date
01/08/2018
Last updated
08/12/2022
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