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Individual

CASSANDRA LEIGHANN MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 BROADHOLLOW RD STE 42, MELVILLE, NY 11747-4822
(631) 385-7780
(631) 385-7795
Mailing address
4836 47TH ST APT 4C, WOODSIDE, NY 11377-7231
(562) 479-9503

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/12/2018
Last updated
11/12/2018
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