Individual
AISHWARYA MANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2372 MORSE AVE STE 583, IRVINE, CA 92614-6234
(800) 689-8675
Mailing address
4401 CRENSHAW BLVD STE 215, LOS ANGELES, CA 90043-1200
(323) 291-7100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/23/2026
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