Individual
MR. VINCENT AHMED MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, IBA
Contact information
Practice address
5304 GANNET LN, PUEBLO, CO 81008-9719
(908) 420-7595
Mailing address
5304 GANNET LN, PUEBLO, CO 81008-9719
(908) 420-7595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30514
CO
103K00000X
Behavior Analyst
1-18-30514
NJ
Other
Enumeration date
09/21/2019
Last updated
05/29/2025
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