Most Relevant Information
Provider Data
| NPI Number: | 1003470873 |
| Provider Name: | MERCY MENJIVAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2019 |
| Last Updated: | 04/26/2019 |
Provider Practice Location
2372 MORSE AVE # 534
IRVINE
CA
926146234
Practice Location Phone/Fax
| Phone: | 9493254402 |
| Fax: |
Provider Mailing Location
2372 MORSE AVE # 534
IRVINE
CA
926146234
Provider Mailing Phone/Fax
| Phone: | 9493254402 |
| Fax: |