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

Michael D Mortazavi

Individual provider Behavior Technician · NPI 1407620016

Michael D Mortazavi is a Behavior Technician in Jacksonville, North Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

200 Doctors Dr Ste J
Jacksonville, NC 28546-6308
Phone: (910) 333-0814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407620016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

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