Individual
ANGELA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
(708) 352-2715
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
(708) 352-2715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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