Michael Mansour

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52313 Issued in CA

Practice address

2550 N Hollywood Way Ste 102
Burbank, CA 91505-5031

Phone

(866) 727-8274

NPI assigned

Nov 16, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Star of California

  • Community/Behavioral Health Agency
  • Ventura, CA
  • NPI 1669613972

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1730658972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W CENTINELA AVE STE 380",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306367",
            "telephone_number": "805-398-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N HOLLYWOOD WAY STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055031",
            "telephone_number": "866-727-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 W Centinela Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306367",
            "country_code": "US",
            "telephone_number": "805-398-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-52313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krikor Hovsep Manoukian, M.D.
• Liana Manriquez
• Robert A Manriquez, P.A.
• Laura Manrriquez Huizar
• Mansoor Karamooz, M.D., Inc
• Manuel E.Macias DDS, a Professional Corp (Manny E.Macias, DDS,INC.)
• Manuka Healthcare Products
• Pierre Manukian, M.D.
• Xinyan Mao
• Yvonne Mao, MD

• Behavior Analyst in Burbank, CA
• Providers in Burbank, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.