IndividualActive
Jonah Manivong
NPI 1174398861 · Behavior Technician · Santa Cruz, CA
Jonah Manivong is a Behavior Technician provider in Santa Cruz, CA (NPI 1174398861).
Provider details
- NPI number
- 1174398861
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8030 Soquel Ave Ste 104
Santa Cruz, CA 95062-2096
Phone: (855) 223-7123
Fax: (619) 374-7134
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2023-11-22
- Last updated
- 2023-11-22
- Certified
- 2023-11-22
Frequently asked questions
- What is Jonah Manivong's NPI number?
- Jonah Manivong's National Provider Identifier (NPI) is 1174398861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonah Manivong's specialty?
- Jonah Manivong is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jonah Manivong located?
- Jonah Manivong's practice location on file with NPPES is 8030 Soquel Ave Ste 104, Santa Cruz, CA 95062-2096.
- What is Jonah Manivong's phone number?
- The practice phone number listed in the NPPES registry for Jonah Manivong is (855) 223-7123.
- Is Jonah Manivong's NPI active?
- Yes — Jonah Manivong's NPI (1174398861) is active in the NPPES registry as of the last update on 2023-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.