Individual
ALEXIS MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
348 WARFIELD BLVD STE A, CLARKSVILLE, TN 37043-5686
(931) 553-1395
Mailing address
8081 HOLLAND DR APT G18, HUNTINGTON BEACH, CA 92647-6393
(586) 817-0172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26019
—
Other
Enumeration date
10/19/2017
Last updated
04/12/2023
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