Individual
JEZRAHEL MERCADO- LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 E ROSEMONTE DR, PHOENIX, AZ 85024-2959
(760) 296-2488
Mailing address
1502 E ROSEMONTE DR, PHOENIX, AZ 85024-2959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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