Jonah Michael Manivong
Jonah Michael Manivong is a Behavior Technician in Santa Cruz, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8030 Soquel Ave Ste 104Santa Cruz, CA 95062-2096
Phone: (855) 223-7123
Fax: (619) 374-7134
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1174398861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 22, 2023 |
| Last updated in NPPES | November 22, 2023 |
| Certification date | November 22, 2023 |
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