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Malik Allen Massey

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1053010751
StatusActive
Last updated in NPPESMar 1, 2023

Details

NPI
1053010751
Entity type
Individual (NPI-1)
Name
Malik Allen Massey
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 1, 2023
Certification date
Mar 1, 2023
Last updated
Mar 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

501 W Broadway Ste 800
San Diego, CA 92101-3546

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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