Look up the most recent NPI and PECOS records

Kat Manzo

Behavior Technician

Behavioral Health & Social Service Providers

24699 Moonshadow Dr, Moreno Valley, CA 92557-3212

(562) 274-8888

PECOS Enrollment

Based on the most recent information from CMS, provider Kat Manzo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912642034
Provider Type
Individual
Full Name
Manzo, Kat
Gender
Female

Sole Proprietor
No
Enumeration Date
5/3/2022
Last Updated
5/3/2022

Contact Information

Practice Location

24699 Moonshadow Dr, Moreno Valley, CA 92557-3212

(562) 274-8888

Unlisted Fax

Mailing Location

24699 Moonshadow Dr, Moreno Valley, CA 92557-3212

(562) 274-8888

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer California
Code 103K00000X	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer

Kat Manzo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ramirez, Nareth

Merriwether, Essence

Mendez, Priscilla Ann

Simpson, Deja

Derrera, Desire Sally

Vasquez, Lairen Michele

Rios Luna, Maria Guadalupe

Pioquinto, Jennica Caparas

Thorpe, Jennifer Marie

Alston, James