Provider Demographics
NPI:1205660115
Name:SINGH, MANJIT
Entity type:Individual
Prefix:
First Name:MANJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22365 ENTERPRISE ST APT 231
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-4245
Mailing Address - Country:US
Mailing Address - Phone:703-546-6093
Mailing Address - Fax:
Practice Address - Street 1:115 OLD SHORT HILLS ROAD APT 230
Practice Address - Street 2:
Practice Address - City:NEW JERSEY
Practice Address - State:NJ
Practice Address - Zip Code:20164
Practice Address - Country:UM
Practice Address - Phone:703-546-6093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician