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Individual

CLARINA MARIEL MENDOZA DIMAYUGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
U
Credential
RBT, LABA

Contact information

Practice address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(425) 215-1343
Mailing address
15728 NE 105TH CT, REDMOND, WA 98052-2640

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78099
WA
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
05/08/2024
Last updated
02/10/2025
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