Manzo, Larisa Ayn

Manzo, Larisa Ayn is an individual health care provider with primary practice located at 3855 Centerview Dr Ste 400B , Chantilly VA 20151-3285. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Manzo, Larisa Ayn can be contacted via phone (854) 844-1116.

Contact Information

Primary practice address
3855 Centerview Dr Ste 400B Chantilly VA 20151-3285
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133001741 Virginia

Profile Details

NPI number 1184198418
LBN Legal business name Manzo, Larisa Ayn
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2019
Last updated Mar 19th, 2024 - about 2 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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