Mendoza, Madison
Mendoza, Madison is an individual health care provider with primary practice located at 320 Sixth St Basics Nw Llc, Raymond WA 98577. 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 (360) 915-6868.Contact Information
Primary practice address
320 Sixth St Basics Nw Llc
Raymond WA 98577
Phone: (360) 915-6868
Fax: (360) 515-5783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Washington |
Profile Details
| NPI number | 1578978680 |
|---|---|
| LBN Legal business name | Mendoza, Madison |
| Credentials | BCBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2014 |
| Last updated | Apr 22nd, 2024 - about 7 months 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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