Manis, Mersade Reanna

Manis, Mersade Reanna is an individual health care provider with primary practice located at 415 Medical Dr Ste A100 , Bountiful UT 84010-4995. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Manis, Mersade Reanna can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Dr Ste A100 Bountiful UT 84010-4995
Phone: (801) 683-1062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Utah

Profile Details

NPI number 1114389624
LBN Legal business name Manis, Mersade Reanna
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Jan 4th, 2022 - about 3 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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