Individual
MARK ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4669 MURPHY CANYON RD STE 212, SAN DIEGO, CA 92123-4333
(858) 569-0056
(858) 569-4233
Mailing address
4669 MURPHY CANYON RD STE 212, SAN DIEGO, CA 92123-4333
(858) 569-0056
(858) 569-4233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
15-05905
CA
247200000X
Other Technician
Primary
15-05905
CA
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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