Mulikat Ibrahim

Individual provider Active NPI Behavior Technician · Monrovia, CA

NPI 1619787694 · NPPES record last updated Jan 10, 2025

Key facts

NPI
1619787694
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1333 S Mayflower Ave
Suite 220
Monrovia, CA 91016-4066
Phone
(818) 241-6780
Fax
(888) 588-2752
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Healthcare,Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1333 S Mayflower Ave
Suite 220
Monrovia, CA 91016-4066

Mailing address

1333 S Mayflower Ave
Suite 220
Monrovia, CA 91016-4066
Phone (818) 241-6780

Other providers in Monrovia, CA

All providers in Monrovia, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.