Manning, Michael Keith
Manning, Michael Keith is an sole proprietor health care provider with primary practice located at 1111 Elm St , West Springfield MA 01089-1782. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Manning, Michael Keith can be contacted via phone (413) 734-0300.Contact Information
Primary practice address
1111 Elm St
West Springfield MA 01089-1782
Phone: (413) 734-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1831476704 |
|---|---|
| LBN Legal business name | Manning, Michael Keith |
| Credentials | BEHAVIOR ANALYST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2011 |
| Last updated | Aug 20th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831476704 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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