Individual
BRENDA M MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
238 GRAY RD, TEMPLETON, MA 01468-1142
(978) 895-9585
Mailing address
103 MECHANIC ST # 484, EAST BROOKFIELD, MA 01515-9800
(413) 459-9565
(833) 431-1244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-210783
MA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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