Individual
AEXIS AIDE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63015 PIMLICO DR, MOUNTAIN CENTER, CA 92561-4100
(847) 306-9843
Mailing address
PO BOX 390173, ANZA, CA 92539-0173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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