Most Relevant Information
Provider Data
NPI Number: | 1003373937 |
Provider Name: | MINDY REDONDO |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/27/2019 |
Last Updated: | 02/27/2019 |
Provider Practice Location
1479 SARATOGA AVE
SAN JOSE
CA
951294934
Practice Location Phone/Fax
Phone: | 8552953276 |
Fax: |
Provider Mailing Location
206 N JACKSON ST STE 202
GLENDALE
CA
912064330
Provider Mailing Phone/Fax
Phone: | |
Fax: |