Raquel De Jesus Mendoza
Behavior Technician in Portland, OR. Individual provider (NPI-1).
NPI number1669989679
StatusActive
Last updated in NPPESDec 29, 2017
Details
- NPI
- 1669989679
- Entity type
- Individual (NPI-1)
- Name
- Raquel De Jesus Mendoza
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2017
- Last updated
- Dec 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2717 Ne Broadway StPortland, OR 97232-1722
Phone 971-256-3400
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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