Brenda M Mendoza, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-210783 Issued in MA

Practice address

238 Gray Rd
Templeton, MA 01468-1142

Phone

(978) 895-9585

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Assist Inc

  • Behavior Analyst
  • North Brookfield, MA
  • NPI 1679197727

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1043952401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MECHANIC ST # 484",
            "city": "EAST BROOKFIELD",
            "state": "MA",
            "postal_code": "015159800",
            "telephone_number": "413-459-9565",
            "fax_number": "833-431-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 GRAY RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681142",
            "telephone_number": "978-895-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Mechanic St # 484",
            "address_purpose": "LOCATION",
            "city": "East Brookfield",
            "state": "MA",
            "postal_code": "015159800",
            "country_code": "US",
            "telephone_number": "413-459-9565",
            "fax_number": "833-431-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "RBT-22-210783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noreen M Lasalle-Green, M.D.
• Sarah Ann Leblanc, MS, RDN, LDN
• Tracey Leblanc
• Lillian Levesque, LEP
• Brigette M Martin, CD
• Diane S Messersmith, M.D.
• Abby Marie Meszaros, LICSW
• Michael F Meyerovitz, M.D.
• Mithna Staffing Solutions LLC (Mithna Staffing Solutions)
• John K Mukai, M.D.

• Behavior Technician in Templeton, MA
• Providers in Templeton, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.