Manieri, Wyatt Jacob

Manieri, Wyatt Jacob is an individual health care provider with primary practice located at 201 King Of Prussia Rd Ste 650 , Radnor PA 19087-5156. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Manieri, Wyatt Jacob can be contacted via phone (215) 853-6682.

Contact Information

Primary practice address
201 King Of Prussia Rd Ste 650 Radnor PA 19087-5156
Phone: (215) 853-6682
Fax: (855) 568-2494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1659040517
LBN Legal business name Manieri, Wyatt Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2021
Last updated Sep 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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