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NPI Code Detail

MEDICARE: WENDY MANIKOWSKI

MEDICARE:   WENDY  MANIKOWSKI
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 Analyst1-13-14397CO

General Provider Information

NPI Number : 1972934149
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY MANIKOWSKI
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 8008 E ARAPAHOE CT STE 110
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-6839
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 08/29/2024

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Directions to “ WENDY MANIKOWSKI ” Practice Location

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