Mendoza, Kattys Elena

Mendoza, Kattys Elena is an individual health care provider with primary practice located at 1001 W. Cypress Creek Rd. 120, Ft Lauderdale FL 33309. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mendoza, Kattys Elena can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
1001 W. Cypress Creek Rd. 120 Ft Lauderdale FL 33309
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1245756790
LBN Legal business name Mendoza, Kattys Elena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2017
Last updated Aug 16th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245756790 NPPES
Florida MEDICAID 692573196
Florida MEDICAID 691749696

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