Leia Manibusan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

732 Eden Way N Ste E563
Chesapeake, VA 23320-2798

Phone

(540) 915-2114

Fax

(757) 485-1989

NPI assigned

Jun 5, 2024

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

Practice roles

Locations

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

• Pathways Behavioral Services

  • Behavior Analyst
  • Chesapeake, VA
  • NPI 1861174682
  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1689415283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MCDANIEL ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041731",
            "telephone_number": "757-639-5850",
            "fax_number": "757-485-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N STE E563",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "540-915-2114",
            "fax_number": "757-485-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIBUSAN",
        "first_name": "LEIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Mallory, RBT
• Alyssa Malvinni, LMT
• Cristie Tamar Mangrum
• Rhonda Spring Mangrum, M.D.
• Jose Mangual III
• Janiah Jada Manley, CCC-SLP
• Katie Louise Mann, NP
• Mary Elizabeth Mann, CRNA
• Amanda B Mannick, DPT
• Abigail Manning, PT, DPT, MS

• All providers in Chesapeake, VA
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.