Individual
ALYSSA BRIANNE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RBT
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(844) 458-2100
Mailing address
4020 WHITETAIL CIR, GUTHRIE, OK 73044-6154
(419) 377-2682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/02/2024
Last updated
10/11/2024
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