Organization
BODHI ABA
Active
Other names
Bodhi ABA
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON MENDOZA (OWNER)
(520) 429-5502
Entity
Organization
Contact information
Practice address
4842 JOHNSON POINT RD NE, OLYMPIA, WA 98516-9152
(520) 429-5502
Mailing address
4842 JOHNSON POINT RD NE, OLYMPIA, WA 98516-9152
(520) 429-5502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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