Individual
MORGAN MENDOLA BANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6533 RIVER RD, NEW PORT RICHEY, FL 34652-2229
(727) 534-3234
(727) 255-5151
Mailing address
1900 OSWEGO DR, HOLIDAY, FL 34691-7858
(727) 255-1626
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053031492
—
FL
Enumeration date
08/29/2022
Last updated
01/02/2026
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