Mikaela L Mendoza

NPI #1588305155 in Bernalillo, New Mexico

Provider Information

NPI Number: 1588305155
Entity Type: Individual
Name: Mikaela L Mendoza
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 6, 2022
Last Updated: Apr 6, 2022

Practice Location

Address: 412 CAMINO DON TOMAS
City: Bernalillo
State: New Mexico
ZIP Code: 87004-9101
Phone: (505) 404-8515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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