Leinalyn Robert Manong
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1003676784
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1003676784
- Entity type
- Individual (NPI-1)
- Name
- Leinalyn Robert Manong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 Concord Ave Ste 185Concord, CA 94520-4915
Phone 877-910-6538
Mailing address
1200 Concord Ave Ste 185Concord, CA 94520-4915
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