Individual
EVELYN EDITH MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1600 W LA JOLLA DR APT 1018, TEMPE, AZ 85282-4433
(928) 323-7407
Mailing address
1600 W LA JOLLA DR APT 1018, TEMPE, AZ 85282-4433
(928) 323-7407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-131451
AZ
2355S0801X
Speech-Language Assistant
Primary
SLPA13134
AZ
Other
Enumeration date
08/19/2020
Last updated
06/24/2021
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