Noel E Lastre Mendoza

NPI #1891208237 in Surfside, Florida

Provider Information

NPI Number: 1891208237
Entity Type: Individual
Name: Noel E Lastre Mendoza
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 8, 2017
Last Updated: Nov 8, 2017

Practice Location

Address: 9064 COLLINS AVE APT 9
City: Surfside
State: Florida
ZIP Code: 33154-3253
Phone: (786) 622-9776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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