Joel Diego Mendez
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1710694872
StatusActive
Last updated in NPPESOct 28, 2022
Details
- NPI
- 1710694872
- Entity type
- Individual (NPI-1)
- Name
- Joel Diego Mendez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2022
- Certification date
- Oct 28, 2022
- Last updated
- Oct 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1947 E Yale StOntario, CA 91764-2375
Phone 909-438-5658
Mailing address
1947 E Yale StOntario, CA 91764-2375
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