Dwight Hannibal Manley, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-26-541799

Practice address

275 Upper Riverdale Rd SW Ste D
Riverdale, GA 30274-2556

Phone

(888) 595-7159

NPI assigned

Apr 1, 2024

Reactivated

Jul 2, 2026

Sex

Male

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

Credentials

Master of Science

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639920119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 LEES LAKE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143106",
            "telephone_number": "229-412-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 UPPER RIVERDALE RD SW STE D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742556",
            "telephone_number": "888-595-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "DWIGHT",
        "middle_name": "HANNIBAL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "deactivation_date": "2026-05-05",
        "reactivation_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-26-541799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Son Bang Mai, FNP
• Vikram Reddy Mandadi, MD
• Tyrone Mangum
• Balu S Mani, MD
• Saptak Piyush Mankad, MD
• Tristan Marsh, LMSW
• Alexis R Marshall
• Carolyn W. Marshall, L.C.S.W., ED. S.
• Megan Marshall, MD
• David Michael Martin, MD

• Behavior Technician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.