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General NPI Number Information
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NPI Number | 1043167018
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Entity Type | Individual
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Provider Name | LEASLEY KARINA MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 713 W COMMONWEALTH AVE STE C
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City | FULLERTON
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State | CA
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Zip | 92832-1612
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Country | US
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Telephone | 714-879-4274
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Fax |
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Provider Business Mailing Address
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Address Line | 17800 COLIMA RD APT 12
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-1715
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Country | US
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Telephone | 877-634-7298
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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