Individual
MICAH MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 GIRARD AVE, 72, NEWPORT, RI 02840-1188
(401) 855-5141
Mailing address
90 GIRARD AVE, 72, NEWPORT, RI 02840-1188
(401) 855-5141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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