Most Relevant Information
Provider Data
| NPI Number: | 1003596974 |
| Provider Name: | AMANDA NICOLE MENDES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/24/2023 |
| Last Updated: | 07/24/2023 |
Provider Practice Location
612 S MYRTLE AVE STE 100
MONROVIA
CA
910163406
Practice Location Phone/Fax
| Phone: | 6267757888 |
| Fax: |
Provider Mailing Location
8963 BOLD RULER LN
RIVERSIDE
CA
925093126
Provider Mailing Phone/Fax
| Phone: | 9512241777 |
| Fax: |