IndividualActive
Latisha Mabullu
NPI 1548740830 · Behavior Technician · Concord, CA
Latisha Mabullu is a Behavior Technician provider in Concord, CA (NPI 1548740830).
Provider details
- NPI number
- 1548740830
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1855 2nd St Ste B
Concord, CA 94519-2623
Phone: (925) 239-9640
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Additional practice locations (1)
- 41521 W 11 Mile RdNovi, MI 48375-1803Phone: (248) 299-0030
Registry dates
- Enumerated
- 2018-08-16
- Last updated
- 2020-01-23
- Certified
- 2020-01-23
Frequently asked questions
- What is Latisha Mabullu's NPI number?
- Latisha Mabullu's National Provider Identifier (NPI) is 1548740830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Latisha Mabullu's specialty?
- Latisha Mabullu is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Latisha Mabullu located?
- Latisha Mabullu's practice location on file with NPPES is 1855 2nd St Ste B, Concord, CA 94519-2623.
- What is Latisha Mabullu's phone number?
- The practice phone number listed in the NPPES registry for Latisha Mabullu is (925) 239-9640.
- Is Latisha Mabullu's NPI active?
- Yes — Latisha Mabullu's NPI (1548740830) is active in the NPPES registry as of the last update on 2020-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.