Individual
JORGE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
Mailing address
16278 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 623-1512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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