Aseal Mark Mansour
Behavior Technician in Broomfield, CO. Individual provider (NPI-1).
NPI number1760102735
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1760102735
- Entity type
- Individual (NPI-1)
- Name
- Aseal Mark Mansour
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2022
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
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
13613 Windom LnBroomfield, CO 80023-4069
Phone 720-498-7969
Mailing address
13613 Windom LnBroomfield, CO 80023-4069
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 190 Behavior Technician providers in Broomfield · All 1,961 providers in Broomfield
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