Individual
MR. KIRK MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. BCBA
Contact information
Practice address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
Mailing address
P.O. BOX 767, 13 WILDWOOD RIDGE, FORT MONTGOMERY, NY 10922
(914) 262-9944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
495050041
NY
Other
Enumeration date
06/15/2012
Last updated
07/18/2016
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