Jesus Danny Mendiola-Lopez
Behavior Technician in Shelton, WA. Individual provider (NPI-1).
NPI number1164362000
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1164362000
- Entity type
- Individual (NPI-1)
- Name
- Jesus Danny Mendiola-Lopez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2026
- Certification date
- Mar 30, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
538 E Terrace View DrShelton, WA 98584-1828
Phone 360-490-8067
Mailing address
538 E Terrace View DrShelton, WA 98584-1828
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Other Behavior Technician providers in Shelton, WA
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All 16 Behavior Technician providers in Shelton · All 803 providers in Shelton
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