Individual
SAMANTHA JEAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 DUNNING WAY, SAN DIMAS, CA 91773-2306
(909) 618-0974
(800) 218-6006
Mailing address
801 CORPORATE CENTER DR STE 210, POMONA, CA 91768-2627
(909) 618-0974
(800) 218-6006
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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