Individual
RAVEN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 HICKORY LOOP, LAS CRUCES, NM 88005-6587
(575) 652-3155
(505) 796-9601
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 652-3155
(505) 796-9601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70680
NM
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2018
Last updated
03/17/2026
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