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NPI Code Detail

MEDICARE: ELIZABETH MENDOZA

MEDICARE: ELIZABETH 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 Analyst1-26-90333

General Provider Information

NPI Number : 1538737796
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MENDOZA
Provider Business Mailing Address
First Line : 542 AMHERST ST STE B
Second Line :
City : NASHUA
State : NH
Zip : 03063-1016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4300 ALEXANDER DR STE 200
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-3780
Country : US
Telephone Number : 855-463-1630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 06/01/2026

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Directions to “ ELIZABETH MENDOZA ” Practice Location

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