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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN JAMES MANVILLE

Active Sole Proprietor

ETHAN JAMES MANVILLE is a Behavior Technician healthcare provider located in SAN LUIS OBISPO, California. NPI 1013774645 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1013774645
Provider Type
Individual
Gender
Male
NPI Issued
Feb 29, 2024 (2.4576259130635 yrs)
Last Updated
Feb 29, 2024
Sole Proprietor
Yes

Practice Information

Address
1212 MARSH ST
SAN LUIS OBISPO, CA, 934013346
Browse CA providers · Browse ZIP 93401
Phone
8056656057
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SAN LUIS OBISPO, CA

Name Credential NPI
BEVERLY WORTH 1689195117
MAUREEN LYNCH RBT 1902314941
FAUSTINA SCOTT RBT 1629586664
APRIL BELL RBT 1659889699
EMILY KATYRYNIUK RBT 1891203832
GABRIELLE LINDMEIER RBT 1891203741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.