Vivian Mendez
Behavior Technician in San Jose, CA. Individual provider (NPI-1).
NPI number1124501705
StatusActive
Last updated in NPPESSep 10, 2018
Details
- NPI
- 1124501705
- Entity type
- Individual (NPI-1)
- Name
- Vivian Mendez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2018
- Last updated
- Sep 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1401 Parkmoor Ave Ste 208San Jose, CA 95126-3407
Phone 498-855-0805
Mailing address
1298 Adrian WaySan Jose, CA 95122-3903
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