IndividualActive
Maxwell Mangum
NPI 1073488763 · Behavior Technician · Provo, UT
Maxwell Mangum is a Behavior Technician provider in Provo, UT (NPI 1073488763).
Provider details
- NPI number
- 1073488763
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
585 E 1860 S Bldg 6
Provo, UT 84606-7312
Phone: (801) 935-4171
Street-level locationGet directions
Mailing address
16255 Ventura Blvd Ste 900
Encino, CA 91436-2317
Registry dates
- Enumerated
- 2025-10-10
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Maxwell Mangum's NPI number?
- Maxwell Mangum's National Provider Identifier (NPI) is 1073488763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxwell Mangum's specialty?
- Maxwell Mangum is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Maxwell Mangum located?
- Maxwell Mangum's practice location on file with NPPES is 585 E 1860 S Bldg 6, Provo, UT 84606-7312.
- What is Maxwell Mangum's phone number?
- The practice phone number listed in the NPPES registry for Maxwell Mangum is (801) 935-4171.
- Is Maxwell Mangum's NPI active?
- Yes — Maxwell Mangum's NPI (1073488763) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.