MEDICARE: UZMA MANZOOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-13-14788

General Provider Information

NPI Number	:	1417395690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UZMA MANZOOR

Provider Business Mailing Address
First Line	:	3630 N JOSEY LN
Second Line	:	SUITE 100
City	:	CARROLLTON
State	:	TX
Zip	:	75007-3159
Country	:	US
Telephone Number	:	469-892-7500
Fax Number	:	469-575-3002

Provider Business Practice Location Address
First Line	:	320 DECKER DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-3999
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	10/06/2025

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Directions to “ UZMA MANZOOR ” Practice Location

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