NPI 1295357994 · live from the CMS NPI Registry
Steven W Manning, RBT
Behavior Technician in Wasilla, AK. National Provider Identifier 1295357994, active.
NPI record
| NPI | 1295357994 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 300 W Swanson Ave, Wasilla, AK 99654 |
| Practice phone | 907-521-0890 |
| Mailing address | Po Box 872720, Wasilla, AK 99687 |
| Enumerated | May 15, 2020 |
| Last updated | May 15, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 100008 (AK) |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.