Kevin Mamon
Kevin Mamon is a Behavior Technician in Gardena, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone: (310) 856-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 00011995 (CA) |
|---|
Record details
| NPI number | 1720695265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 29, 2020 |
| Last updated in NPPES | November 16, 2022 |
| Certification date | November 16, 2022 |
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1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 · (800) 249-1266
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Ashley Mandujano
1149 W 190th St Ste 2200, Gardena, CA 90248-4344 · (310) 856-0800
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