Individual
AUGUST MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(888) 392-8642
Mailing address
586 HAWS RUN RD APT 23, JACKSONVILLE, NC 28540-9682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-457463
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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