Moriah Constance Manahan

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

1470123010 Issued in VT

Practice address

174 Avenue C
Williston, VT 05495-7840

Phone

(802) 662-7831

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1235800053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 KING RD",
            "city": "BAKERSFIELD",
            "state": "VT",
            "postal_code": "054419749",
            "telephone_number": "802-752-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 AVENUE C",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957840",
            "telephone_number": "802-662-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "MORIAH",
        "middle_name": "CONSTANCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VT",
            "license": "1470123010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Maas, PSY. MA
• Kaeli A. Mace, PT
• Serena Ann Magnan, PT
• Owen David Maguire, MD
• Mainspring Health, Inc.
• Stephen E Mann, MD
• Nicholas Paul Marconi, O.D.
• Jessica Marini, BCABA
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Tracey Sue Maurer, MD

• Assistant Behavior Analyst in Williston, VT
• Providers in Williston, VT by specialty
• Assistant Behavior Analyst in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.