Gregory Manzo, M.S.BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-90 Issued in HI

Practice address

91-1159 Kamakana St Apt 120
Ewa Beach, HI 96706-2023

Phone

(808) 721-8386

NPI assigned

Nov 14, 2010

Last updated

Nov 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Venture ABA Hawaii LLC

  • Behavior Analyst
  • Ewa Beach, HI
  • NPI 1457069049
  NPD Authorized official

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1255632709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1159 KAMAKANA ST APT 120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062023",
            "telephone_number": "808-721-8386",
            "fax_number": "619-374-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1159 KAMAKANA ST APT 120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062023",
            "telephone_number": "808-721-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "M.S.BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-14",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-09-6693",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manilyn B Nagtalon
• Jennifer Rebecca Mann, RN
• Grace Ann Manring
• Zaya Manubag
• Jamaica Laguna Manuel
• Caitlin Marcelo-Servito
• Margaret Hales, LMHC LLC
• Aurora C Mariani, M.D.
• Mark Dichner PH D Inc
• Mark Y. Shimao, DDS, Inc.

• Behavior Analyst in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.