Individual
ASHLEY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
7400 PACIFIC BLVD STE A&B, WALNUT PARK, CA 90255-5954
(323) 538-9050
Mailing address
36 MONTEREY BLVD STE A, SAN FRANCISCO, CA 94131-3235
(877) 264-6747
(877) 539-7730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48453
CA
247200000X
Other Technician
RBT-16-22874
CA
Other
Enumeration date
12/09/2016
Last updated
06/17/2021
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