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NPI Code Detail

MEDICARE: JENNIFER MANLEY-STANLEY

MEDICARE:   JENNIFER  MANLEY-STANLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-15-21145CA

General Provider Information

NPI Number : 1275999450
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MANLEY-STANLEY
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number : 818-758-8015
Provider Business Practice Location Address
First Line : 5352 LAUREL CANYON BLVD STE 100
Second Line :
City : VALLEY VILLAGE
State : CA
Zip : 91607-4923
Country : US
Telephone Number : 747-254-1154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 07/21/2022

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Directions to “ JENNIFER MANLEY-STANLEY ” Practice Location

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