Individual provider · NPI-1
Tawan Alisa Maner
Day Training/Habilitation Specialist · Newport News, VA
NPI number1497413686
StatusActive
Last updated in NPPESDec 4, 2021
Details
- NPI
- 1497413686
- Entity type
- Individual (NPI-1)
- Name
- Tawan Alisa Maner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2021
- Certification date
- Dec 4, 2021
- Last updated
- Dec 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
739 Thimble Shoals Blvd Ste 1011fNewport News, VA 23606-3601
Phone 757-343-4479
Mailing address
739 Thimble Shoals Blvd Ste 1011fNewport News, VA 23606-3601
Phone 757-343-4479
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