Manuel Armando Manrique
Behavior Technician in Fort Myers, FL. Individual provider (NPI-1).
NPI number1164047809
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1164047809
- Entity type
- Individual (NPI-1)
- Name
- Mr. Manuel Armando Manrique
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2020
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-119708 | FL | Yes |
Practice location
12438 Brantley Commons CtFort Myers, FL 33907-5683
Phone 239-349-3139 · Fax 239-349-3139
Mailing address
12438 Brantley Commons CtFort Myers, FL 33907-5683
Phone 239-349-3139 · Fax 239-984-4372
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