Individual
MRS. MADISON MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4842 JOHNSON POINT RD NE, OLYMPIA, WA 98516-9152
(520) 429-5022
Mailing address
4842 JOHNSON POINT RD NE, OLYMPIA, WA 98516-9152
(360) 515-8620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60771905
WA
Other
Enumeration date
06/26/2014
Last updated
02/19/2025
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