Individual
JENNIFER GABRIELA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 221-6559
Mailing address
1805 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 221-6559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1416387
NM
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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