NPI 1013404128

Tijuana Manuel

Practitioner Behavior Technician Florence, SC

Practice location

Address: 500 2nd Loop Rd STE 444, Florence, SC 29505-2817
Phone: (803) 905-5107
Mailing address: 2580 Lin DO CT, Sumter, SC 29150-1832

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 18-48788 (SC)

Other Behavior Technician providers in South Carolina →

Registry record

NPI: 1013404128
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2018
Record last updated: 16 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.