Individual
ERIK M MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 W I ST, SHELTON, WA 98584-2923
(360) 463-7065
Mailing address
223 W I ST, SHELTON, WA 98584-2923
(360) 463-7065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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