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1184198418
LARISA AYN MANZO
CHANTILLY, VA
NPI
1184198418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: VA 0133001741)
Enumeration Date
2019-01-21
Last Update Date
2024-03-19
Business Address
LARISA AYN MANZO BCBA
3855 CENTERVIEW DR STE 400B
CHANTILLY, VA 20151-3285
Phone number: 854-844-1116
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Mailing Address
LARISA AYN MANZO BCBA
1500 DOUGLAS RD SUITE 230
CORAL GABLES, FL 33134-7807
Phone number: 854-844-1116
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