Jacob Mendez

NPI #1003488800 in Costa Mesa, California

Provider Information

NPI Number: 1003488800
Entity Type: Individual
Name: Jacob Mendez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 13, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 1520 NUTMEG PL STE 110
City: Costa Mesa
State: California
ZIP Code: 92626-2557
Phone: (888) 805-0759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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