Individual
ALEXIS NICOLE MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1749 DIAMOND LAKE TRL, JUSTIN, TX 76247-5738
(940) 377-8095
Mailing address
1749 DIAMOND LAKE TRL, JUSTIN, TX 76247-5738
(940) 377-8095
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-405310
TX
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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