Individual
ANNETTE MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
612 S MYRTLE AVE # 100, MONROVIA, CA 91016-3406
(626) 775-7888
Mailing address
11244 HYATTSVILLE ST, ADELANTO, CA 92301-6134
(909) 782-9026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12153253
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/06/2016
Last updated
04/25/2024
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