Mariam Abdul Shakoor
Individual provider Active NPI Behavior Technician · Carlsbad, CA
NPI 1023609385 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1023609385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374 - Phone
- (760) 637-9996
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (619) 550-6368
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All providers in Carlsbad, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.