Mansour, Aseal Mark

Mansour, Aseal Mark is an individual health care provider with primary practice located at 13613 Windom Ln , Broomfield CO 80023-4069. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mansour, Aseal Mark can be contacted via phone (720) 498-7969.

Contact Information

Primary practice address
13613 Windom Ln Broomfield CO 80023-4069
Phone: (720) 498-7969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760102735
LBN Legal business name Mansour, Aseal Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760102735 NPPES
Colorado MEDICAID Q373811

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