Jesus Danny Mendiola-Lopez
Individual provider Active NPI Behavior Technician · Shelton, WA
NPI 1164362000 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1164362000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 538 E Terrace View Dr
Shelton, WA 98584-1828 - Phone
- (360) 490-8067
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
538 E Terrace View Dr
Shelton, WA 98584-1828
Mailing address
538 E Terrace View Dr
Shelton, WA 98584-1828
Other providers in Shelton, WA
- Nikki Ann Reyes Medina
- Aditya Mehta
- Eric Andrew Melody
- Ezekiel Derek Alexander Melquist
- Heather Liv Melver
- Erik M Mendiola
- Mental Health Professionals, LLC
- Larry Messenger
- Michelle Lynn Messenger
- Stephanie Messier
All providers in Shelton, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.