Blake Manhart
Behavior Technician in Temecula, CA. Individual provider (NPI-1).
NPI number1023732575
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1023732575
- Entity type
- Individual (NPI-1)
- Name
- Blake Manhart
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
44065 Margarita RdTemecula, CA 92592-2741
Phone 866-727-8274
Mailing address
2550 N Hollywood Way Ste 102Burbank, CA 91505-5031
Phone 866-727-8274
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