Intisar Abdulmutalib
Individual provider Active NPI Behavior Technician · Monrovia, CA
NPI 1982310967 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1982310967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239 - Phone
- (818) 241-6780
- NPI assigned
- Jan 24, 2023
- 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
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Mailing address
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (716) 796-9776
Other providers in Monrovia, CA
- Deana Abdul
- Ghasak Abdulahad
- Eman Abdulkadir
- Jameela Tarhira Abdullah
- Fatbardh Abdullahu
- Cheyenne Abdulrahmaan
- Hamza Abdur-Raheem
- Freshta Abedi
- Isabel Abel
- Kyria Abel
All providers in Monrovia, 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 24, 2023. 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.