Most Relevant Information
Provider Data
| NPI Number: | 1003576372 |
| Provider Name: | NATALIE MENCIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2021 |
| Last Updated: | 12/28/2021 |
Provider Practice Location
4921 N GLEN PARK PLACE RD
PEORIA
IL
616144676
Practice Location Phone/Fax
| Phone: | 8442631613 |
| Fax: |
Provider Mailing Location
2550 N HOLLYWOOD WAY STE 102
BURBANK
CA
915055031
Provider Mailing Phone/Fax
| Phone: | 8667278274 |
| Fax: |