Individual
DWIGHT HANNIBAL MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
275 UPPER RIVERDALE RD SW STE D, RIVERDALE, GA 30274-2556
(888) 595-7159
Mailing address
422 LEES LAKE RD, FAYETTEVILLE, GA 30214-3106
(229) 412-2081
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
GA
106S00000X
Behavior Technician
Primary
RBT-26-541799
—
Other
Enumeration date
04/01/2024
Last updated
07/13/2026
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