Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin William Mansour

Individual provider Behavior Technician · NPI 1942023270

Gavin William Mansour is a Behavior Technician in Garden Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

12395 Lewis St Ste 102
Garden Grove, CA 92840-4698
Phone: (760) 815-2307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1942023270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 5, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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