NPI 1235800053

Moriah Constance Manahan

Practitioner Assistant Behavior Analyst Williston, VT

Practice location

Address: 174 Avenue C, Williston, VT 05495-7840
Phone: (802) 662-7831
Mailing address: 263 King Rd, Bakersfield, VT 05441-9749

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 1470123010 (VT)

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Registry record

NPI: 1235800053
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2021
Record last updated: 22 Sep 2021

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.