Individual
ALEXANDRA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4433 W TOUHY AVE, LINCOLNWOOD, IL 60712-1820
(877) 486-4140
Mailing address
950 LEE ST, DES PLAINES, IL 60016-6532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47227
IL
106S00000X
Behavior Technician
RBT-18-47349
—
Other
Enumeration date
06/11/2018
Last updated
09/02/2021
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