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

Latisha Kolah Mabullu

Individual provider Behavior Technician · NPI 1548740830

Latisha Kolah Mabullu is a Behavior Technician in Concord, California. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

1855 2nd St Ste B
Concord, CA 94519-2623
Phone: (925) 239-9640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41521 W 11 Mile Rd, Novi, MI 48375-1803 — (248) 299-0030

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1548740830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2018
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

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