Rodrigo Esteban Mendoza, BEH-000429

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-000429 Issued in AZ

Practice address

6916 W Sweetwater Ave
Peoria, AZ 85381-5020

Phone

(602) 405-8016

NPI assigned

Jul 2, 2019

Sex

Male

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 and National Provider Directory roles.

• T.E.a.M. 4 Kids, LLC

  • Pediatric Occupational Therapist
  • Surprise, AZ
  • NPI 1386988723
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1093377889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 W SWEETWATER AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815020",
            "telephone_number": "602-405-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 W SWEETWATER AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815020",
            "telephone_number": "602-405-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RODRIGO",
        "middle_name": "ESTEBAN",
        "credential": "BEH-000429",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Meigh
• Carley Marie Meinen, OT
• Amy M Mejia
• Faith Louise Melton
• Mend Integrative Wellness
• Geneva Marie Menendez, DO
• Mario John Menta, RPH
• Mental Health Azforvets LLC
• Lisa D. Menzie, N.P.
• Thomas S Merrill, PH.D., ABPP

• Behavior Analyst in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.