Individual
JEILY MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16154 SW 303RD TER, HOMESTEAD, FL 33033-3376
(786) 678-9976
Mailing address
7506 W 20TH AVE APT 202, HIALEAH, FL 33016-5553
(786) 678-9976
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-25-15789
FL
106S00000X
Behavior Technician
RBT-19-95304
FL
Other
Enumeration date
12/11/2019
Last updated
01/29/2025
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