Alexander Mankarios

Individual provider Active NPI Behavior Technician · Loomis, CA

NPI 1497213631 · NPPES record last updated Mar 6, 2019

Key facts

NPI
1497213631
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3725 Taylor Rd Ste 1
Loomis, CA 95650-9283
Phone
(916) 652-5814
NPI assigned
Mar 6, 2019
Sex
Male
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3725 Taylor Rd Ste 1
Loomis, CA 95650-9283

Mailing address

PO Box 1403
Loomis, CA 95650-1403

Other providers in Loomis, CA

All providers in Loomis, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.