MAXWELL MANGUM
Behavior Technician
Active
Individual
NPI: 1073488763
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1073488763 is the National Provider Identifier for MAXWELL MANGUM, a Behavior Technician provider located in Provo, UT. This NPI was enumerated on October 10, 2025.
MAXWELL MANGUM practices at 585 E 1860 S BLDG 6, Provo, UT 84606.
Quick Facts
- NPI
- 1073488763
- Type
- Individual
- Enumerated
- Oct 10, 2025
- Last Updated
- Oct 10, 2025
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