Individual
MACKENZIE RAE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N CAUSEWAY BLVD # 3, MANDEVILLE, LA 70448-4664
(877) 418-2978
(866) 500-2186
Mailing address
13496 GENERAL OTT RD, HAMMOND, LA 70403-3202
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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