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NPI Code Detail

MEDICARE: ARIANNE MENDOZA

MEDICARE: ARIANNE MENDOZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1215505912
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNE MENDOZA
Provider Business Mailing Address
First Line : 2644 METRO BLVD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-2412
Country : US
Telephone Number : 314-395-9375
Fax Number :
Provider Business Practice Location Address
First Line : 2644 METRO BLVD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-2412
Country : US
Telephone Number : 314-395-9375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2021
Last Update Date : 04/25/2023

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Directions to “ ARIANNE MENDOZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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