Most Relevant Information
Provider Data
| NPI Number: | 1003323239 |
| Provider Name: | KIMBERLY CLAIRE MENDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2018 |
| Last Updated: | 01/09/2018 |
Provider Practice Location
103 LEWIS ST
FORT WALTON BEACH
FL
325473142
Practice Location Phone/Fax
| Phone: | 8508037377 |
| Fax: |
Provider Mailing Location
512 PELHAM ST
FORT WALTON BEACH
FL
325472643
Provider Mailing Phone/Fax
| Phone: | 8503763822 |
| Fax: |