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Individual

MR. TYLER MITCHELL MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
4600 KIETZKE LN # J212, RENO, NV 89502-5033
(775) 348-9074
Mailing address
2205 KATES BRIDGE DR, RENO, NV 89521-5318
(209) 499-2890

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106S00000X
Behavior Technician
RBT-23-296429
NV

Other

Enumeration date
11/01/2023
Last updated
05/13/2025
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