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NPI Code Detail

MEDICARE: ERIKA MENDOZA

MEDICARE:   ERIKA  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
1103K00000XBehavior Analyst1-23-65430TX

General Provider Information

NPI Number : 1225673460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA MENDOZA
Provider Business Mailing Address
First Line : 207 LINDA LN
Second Line :
City : HEATH
State : TX
Zip : 75032-8631
Country : US
Telephone Number : 972-834-0713
Fax Number :
Provider Business Practice Location Address
First Line : 5700 S MOPAC EXPY STE C310
Second Line :
City : AUSTIN
State : TX
Zip : 78749-1461
Country : US
Telephone Number : 151-257-2015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 06/03/2024

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Directions to “ ERIKA MENDOZA ” Practice Location

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