Individual
MACI MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 BAGDAD RD STE 305, CEDAR PARK, TX 78613-6503
(512) 898-9044
(512) 857-1423
Mailing address
PO BOX 151716, AUSTIN, TX 78715-1716
(512) 898-9044
(512) 857-1423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2719
TX
103K00000X
Behavior Analyst
Primary
3944
TX
106E00000X
Assistant Behavior Analyst
0-17-8230
CA
106E00000X
Assistant Behavior Analyst
0-17-8230
TX
Other
Enumeration date
01/09/2018
Last updated
02/24/2021
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