Individual
CARLOS ALBERTO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 LAUREL PARK WAY, RENO, NV 89502-7916
(775) 772-7465
Mailing address
4045 LAUREL PARK WAY, RENO, NV 89502-7916
(775) 772-7465
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13K0000X
NV
103TR0400X
Rehabilitation Psychologist
103TRX040X
NV
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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