Jacqueline Virginia Mendoza
Behavior Technician in Orange, CA. Individual provider (NPI-1).
NPI number1194609727
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1194609727
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Virginia Mendoza
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2025
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1820 W Orangewood Ave Ste 110Orange, CA 92868-5056
Phone 714-696-2862 · Fax 714-242-9308
Mailing address
1820 W Orangewood Ave Ste 110Orange, CA 92868-5056
Phone 714-696-2862 · Fax 714-242-9308
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