Mendoza, Jasmine

Mendoza, Jasmine is an sole proprietor health care provider with primary practice located at 1485 Saratoga Ave Ste 100 , San Jose CA 95129-4965. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mendoza, Jasmine can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
1485 Saratoga Ave Ste 100 San Jose CA 95129-4965
Phone: (818) 241-6780
Fax: (818) 241-6853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-40636 California

Profile Details

NPI number 1649632480
LBN Legal business name Mendoza, Jasmine
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2016
Last updated Aug 11th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649632480 NPPES
California Other 1-20-40636 BCBA

Popular Providers