Individual
NATALIA JACQUELINE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S FRETZ AVE STE C, EDMOND, OK 73003-5568
(405) 757-7980
Mailing address
708 EASTMOOR CT, MOORE, OK 73160-8283
(405) 593-5656
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
10/16/2025
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