Individual
ANTHONY MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7485 PHELAN BLVD, BEAUMONT, TX 77706-5748
(409) 842-9898
Mailing address
7485 PHELAN BLVD, BEAUMONT, TX 77706-5748
(409) 842-9898
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
04/24/2023
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