Kyle Manicom
Kyle Manicom is a Behavior Technician in Chula Vista, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
264 Landis Ave Ste 200Chula Vista, CA 91910-2651
Phone: (855) 223-7123
Fax: (619) 374-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1639679608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 16, 2018 |
| Last updated in NPPES | February 16, 2018 |
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