Individual
GABRIELLA NOEL MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
7220 W JEFFERSON AVE STE 100, LAKEWOOD, CO 80235-2015
(703) 564-1639
Mailing address
1600 SABLE BLVD LOT 32, AURORA, CO 80011-4433
(720) 989-5597
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/16/2022
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