Mendoza, Madison

Mendoza, Madison is an individual health care provider with primary practice located at 4842 Johnson Point Rd Ne , Olympia WA 98516-9152. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mendoza, Madison can be contacted via phone (520) 429-5022.

Contact Information

Primary practice address
4842 Johnson Point Rd Ne Olympia WA 98516-9152
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA60771905 Washington

Profile Details

NPI number 1578978680
LBN Legal business name Mendoza, Madison
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Feb 19th, 2025 - about last year

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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