Maxwell Mangum
Maxwell Mangum is a Behavior Technician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2025.
- Licensed in
- UT
- In the registry since
- 2025
Practice location Address checks out
585 E 1860 S Bldg 6Provo, UT 84606-7312
Phone: (801) 935-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (UT) |
|---|
Record details
| NPI number | 1073488763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 10, 2025 |
| Last updated in NPPES | October 10, 2025 |
| Certification date | October 10, 2025 |
| Mailing address | 16255 Ventura Blvd Ste 900, Encino, CA 91436-2317 |
Other providers in Provo
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Tori M Macarthur
180 N University Ave Ste 270, Provo, UT 84601-5648 · (818) 241-6780
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Sabina Magar
585 E 1860 S Bldg 6, Provo, UT 84606-7312 · (801) 935-4171
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Yi Chia Mak
585 E 1860 S Bldg 6, Provo, UT 84606-7312 · (801) 935-4171
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Linda Michelle Maldonado
180 N University Ave Ste 270, Provo, UT 84601-5648 · (818) 241-6780
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Sydney Martin
585 E 1860 S Bldg 6, Provo, UT 84606-7312 · (801) 935-4171
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Shayla Martinez
180 N University Ave, Provo, UT 84601-5647 · (385) 287-8432
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Erin Mason
750 N Freedom Blvd, Provo, UT 84601 · (801) 373-4760
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Hannah Mattson
585 Lakeview Pkwy Bdlg 6, Provo, UT 84606 · (801) 935-4171