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

CALLISSA CANDALOT MANU, BCBA

Active Sole Proprietor

CALLISSA CANDALOT MANU, BCBA is a Behavior Analyst healthcare provider located in WEST VALLEY CITY, Utah. NPI 1780208512 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · WEST VALLEY CITY, UT

Registration Details

NPI Number
1780208512
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2020 (6.1536639504612 yrs)
Last Updated
May 20, 2025
License
14224191-2506 (UT)
Sole Proprietor
Yes

Practice Information

Address
3442 S 4300 W
WEST VALLEY CITY, UT, 841201816
Browse UT providers · Browse ZIP 84120
Phone
8015410283
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst
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.