Individual
MR. EMMANUEL MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
3842 E IRWIN AVE, MESA, AZ 85206-3852
(602) 394-2689
Mailing address
3842 E IRWIN AVE, MESA, AZ 85206-3852
(602) 394-2689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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