Jacqueline Mansaram
Jacqueline Mansaram is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.
- Licensed in
- AZ
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
4350 E Ray Rd Ste 101APhoenix, AZ 85044-4707
Phone: (480) 704-5954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SLP17250 (AZ) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1912570219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 23, 2021 |
| Last updated in NPPES | June 5, 2026 |
| Certification date | June 5, 2026 |
| Mailing address | 2339 E Geneva Dr, Tempe, AZ 85282-4146 |
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