Kimberly Claire Mendez
Behavior Technician
103 Lewis St
Fort Walton Beach
, Florida 32547-3142
Kimberly Claire Mendez
Behavior Technician
103 Lewis St
Fort Walton Beach
, Florida 32547-3142
(850) 376-3822
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Kimberly Claire Mendez
- 512 Pelham St
- Fort Walton Beach, FL
- Zip : 32547-2643
- Phone : (850) 376-3822
Second Address
- Kimberly Claire Mendez
- 103 Lewis St
- Fort Walton Beach, FL
- Zip : 32547-3142
- Phone : (850) 803-7377
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003323239 |
|---|---|
| Provider Name | Kimberly Claire Mendez |
| First Address | Fort Walton Beach, FL 32547-2643 |
| Second Address | Fort Walton Beach, FL 32547-3142 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2018 |
| Last Update Date | 09/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.