Mersade Reanna Manis, RBT is a
Behavior Technician based in Bountiful, Utah. Mersade Reanna Manis is licensed to practice in Utah (license number ) and her current practice location is
415 Medical Dr Ste A100, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 683-1062.
NPI number for Mersade Reanna Manis is 1114389624 and her current mailing address is 415 Medical Dr Ste A100, Bountiful, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114389624.
Healthcare Provider's Profile
Full Name | Mersade Reanna Manis |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 415 Medical Dr Ste A100, Bountiful, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114389624
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 01/04/2022
Medical Identifiers
Medical identifiers for Mersade Reanna Manis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114389624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mersade Reanna Manis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mersade Reanna Manis, RBT 415 Medical Dr Ste A100, Bountiful, UT 84010-4995 Ph: (801) 683-1062 | Mersade Reanna Manis, RBT 415 Medical Dr Ste A100, Bountiful, UT 84010-4995 Ph: (801) 683-1062 |
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