Individual
MARIA ANGELINA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5575 S DURANGO DR STE 102, LAS VEGAS, NV 89113-1834
(702) 209-3544
Mailing address
8906 WHITTEN PARK AVE, LAS VEGAS, NV 89148-5199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB678929
NV
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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