Ashley Mendoza, M.Ed., BCBA
Behavior Analyst in Walnut Park, CA. Individual provider (NPI-1).
NPI number1780128710
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1780128710
- Entity type
- Individual (NPI-1)
- Name
- Ashley Mendoza
- Credential
- M.Ed., BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2016
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-48453 | CA | Yes |
| 247200000X | Technician, Other | RBT-16-22874 | CA |
Practice location
7400 Pacific Blvd Ste A&BWalnut Park, CA 90255-5954
Phone 323-538-9050
Mailing address
36 Monterey Blvd Ste ASan Francisco, CA 94131-3235
Phone 877-264-6747 · Fax 877-539-7730
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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