Individual
LAURA MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
110 SUMMIT ST, SOUTH PORTLAND, ME 04106-2257
(440) 227-0901
Mailing address
110 SUMMIT ST, SOUTH PORTLAND, ME 04106-2257
(440) 227-0901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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