ETHAN MANVILLE

Behavior Technician

Active Individual
NPI: 1013774645

Practice Address

1212 MARSH ST
San Luis Obispo, CA 93401

Phone: (805) 665-6057

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1013774645 is the National Provider Identifier for ETHAN MANVILLE, a Behavior Technician provider located in San Luis Obispo, CA. This NPI was enumerated on February 29, 2024.
ETHAN MANVILLE practices at 1212 MARSH ST, San Luis Obispo, CA 93401.

Quick Facts

NPI
1013774645
Type
Individual
Enumerated
Feb 29, 2024
Last Updated
Feb 29, 2024

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