Individual
AMY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21801 CACTUS AVE STE A, MARCH AIR RESERVE BASE, CA 92518-3020
(833) 526-2333
Mailing address
15393 AVENIDA ANILLO, MORENO VALLEY, CA 92555-4110
(951) 313-1187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679041495
—
CA
Enumeration date
02/27/2026
Last updated
02/27/2026
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