KETURAH UNITTA MANGUM
NPI 1154918431
Behavior Technician in Fresno, CA

Q: What is Keturah Mangum's NPI number?

The NPI number for Keturah Mangum is 1154918431. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Q: What is Keturah Mangum's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Keturah Mangum was last updated on December 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2020

6770 N WEST AVE STE 105, FRESNO, CA 93711(818) 241-6780(818) 241-6853 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Keturah Unitta Mangum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETURAH UNITTA MANGUM (NPI 1154918431) is an individual behavior technician in Fresno, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1154918431

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameKETURAH UNITTA MANGUM

Location Address6770 N WEST AVE STE 105Fresno, CA 93711-1399

Mailing Address1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380 · (818) 241-6780 · Fax (818) 241-6853

Phone(818) 241-6780

Fax(818) 241-6853

Sole ProprietorNo

Enumeration DateDecember 21, 2020

NPPES CertifiedDecember 21, 2020

✔ NPI 1154918431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

6770 N WEST AVE STE 105, Fresno, CA 93711

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATRINA SIMENTAL BA, RBT

Behavior Technician