Individual
MARIAM MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 SW BARBUR BLVD BLDG 2, PORTLAND, OR 97219-2823
(818) 241-6780
Mailing address
55 E COLORADO BLVD STE 560, PASADENA, CA 91105-1901
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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