Lisa Manukyan
Day Training/Habilitation Specialist in South Pasadena, CA. Individual provider (NPI-1).
NPI number1093594855
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1093594855
- Entity type
- Individual (NPI-1)
- Name
- Lisa Manukyan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2023
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
625 Fair Oaks Ave Ste 300South Pasadena, CA 91030-5805
Phone 626-441-4221
Mailing address
625 Fair Oaks Ave Ste 300South Pasadena, CA 91030-5805
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All 18 Day Training/Habilitation Specialist providers in South Pasadena · All 1,268 providers in South Pasadena
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