Individual
ILEANA PEREZ MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 S VINEYARD STE 223, MESA, AZ 85210-6826
(480) 646-3035
Mailing address
2045 S VINEYARD STE 223, MESA, AZ 85210-6826
(480) 656-3530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-195969
FL
Other
Enumeration date
01/05/2022
Last updated
04/01/2024
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