Mendoza, Kathryn

Mendoza, Kathryn is an sole proprietor health care provider with primary practice located at 453 King St , Cocoa FL 32922-7621. 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, Kathryn can be contacted via phone (321) 633-5511.

Contact Information

Primary practice address
453 King St Cocoa FL 32922-7621
Phone: (321) 633-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-33383

Profile Details

NPI number 1558735670
LBN Legal business name Mendoza, Kathryn
Credentials BCBA, ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2015
Last updated Jan 11th, 2019 - 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

Popular Providers