Individual
NATALIE MENDOZA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 VICTORIA ST, COSTA MESA, CA 92627-1906
(949) 629-2860
Mailing address
275 VICTORIA ST, COSTA MESA, CA 92627-1906
(949) 629-2860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
167G00000X
Licensed Psychiatric Technician
Primary
42490
CA
Other
Enumeration date
08/30/2021
Last updated
04/07/2023
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