Tiffany Mendonca

NPI #1598421737 in Lake Stevens, Washington

Provider Information

NPI Number: 1598421737
Entity Type: Individual
Name: Tiffany Mendonca
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 11, 2021
Last Updated: Nov 11, 2021

Practice Location

Address: 9725 9TH PL SE
City: Lake Stevens
State: Washington
ZIP Code: 98258-3914
Phone: (769) 560-8587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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