Provider Demographics
NPI:1942794177
Name:MANINGAS, WEVIELYN ENVERGA (RBT)
Entity Type:Individual
Prefix:MRS
First Name:WEVIELYN
Middle Name:ENVERGA
Last Name:MANINGAS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MISS
Other - First Name:WEVIELYN
Other - Middle Name:SALVALEON
Other - Last Name:ENVERGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7616 FINISHING TOUCH CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-0458
Mailing Address - Country:US
Mailing Address - Phone:650-290-0721
Mailing Address - Fax:
Practice Address - Street 1:7125 GRAND MONTECITO PKWY STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0261
Practice Address - Country:US
Practice Address - Phone:702-396-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00005321106S00000X
NVRBT-19-87949106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician