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NPI Code Detail

MEDICARE: BRIAHNA MENDOZA

MEDICARE: BRIAHNA 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

General Provider Information

NPI Number : 1467385906
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAHNA MENDOZA
Provider Business Mailing Address
First Line : 18522 FAIRWEATHER ST
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91351-2919
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24355 LYONS AVE STE 240
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91321-2390
Country : US
Telephone Number : 661-254-7086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ BRIAHNA MENDOZA ” Practice Location

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