Robin Anne Manna
Individual provider Active NPI Behavior Technician · Midland, NC
NPI 1679313787 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1679313787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-347315 (NC)
- Practice address
- 12897 Brandenburg LN
Midland, NC 28107-4000 - Phone
- (843) 906-2501
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-347315 | NC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-347315 | NC | Yes |
Addresses
Primary practice location
12897 Brandenburg LN
Midland, NC 28107-4000
Mailing address
12897 Brandenburg LN
Midland, NC 28107-4000
Phone (843) 906-2501
Other providers in Midland, NC
- Rhonda J Huthmacher
- Intentional Growth Behavioral Health Services, PLLC
- Dawn Kiker
- Jeannie Legate
- Heather Lemire
- Matthew L. Hubis DMD, PA
- Dennis Peter McKeon
- Dallas McSheehan
- Midland Transportation LLC
- Dorothy Nivens
All providers in Midland, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.