NPI 1639902133

Angela Johanna Mendez

Practitioner Assistant Behavior Analyst East Islip, NY

Practice location

Address: 84 W Main St, East Islip, NY 11730-2335
Phone: (631) 992-0972
Mailing address: 4716 208th St Fl 2, Bayside, NY 11361-3215

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1639902133
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2024
Record last updated: 21 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.