Individual
ANA RUBY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9570 CENTER AVE STE 110, RANCHO CUCAMONGA, CA 91730
(909) 980-2889
(909) 980-2689
Mailing address
9570 CENTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-5842
(909) 980-2889
(909) 980-2689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
10/18/2022
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