Individual
AIDA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19318 JESSE LN STE 100, RIVERSIDE, CA 92508-5071
(951) 900-7414
Mailing address
19318 JESSE LN STE 100, RIVERSIDE, CA 92508-5071
(951) 900-7414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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