Sean Mack
Behavior Technician in Orange, CA. Individual provider (NPI-1).
NPI number1063264703
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1063264703
- Entity type
- Individual (NPI-1)
- Name
- Sean Mack
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
625 The City Dr S Ste 120Orange, CA 92868-3352
Phone 866-727-8274
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
Phone 866-727-8274
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 4,474 Behavior Technician providers in Orange · All 15,092 providers in Orange
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