Mark A Mancillas Jr.
Mark A Mancillas Jr. is a Behavior Technician in Monrovia, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
612 S Myrtle Ave Ste 100Monrovia, CA 91016-3406
Phone: (760) 992-3039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1619682390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2023 |
| Last updated in NPPES | January 18, 2023 |
| Certification date | January 17, 2023 |
| Mailing address | 82399 Lemon Grove Ave, Indio, CA 92201-2187 |
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