Individual
MATTHEW GARCIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4250 SUNRISE HWY STE 206, MASSAPEQUA, NY 11758-5344
(516) 324-6380
Mailing address
4752 N OPAL AVE, NORRIDGE, IL 60706-4406
(630) 209-0268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69848
IL
Other
Enumeration date
11/28/2023
Last updated
06/04/2024
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