Ashley Mendoza, M.ED., BCBA – Behavior Analyst

Key facts

NPI: 1780128710
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: 1-21-48453 (CA)
Practice address: 7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5954
Phone: (323) 538-9050
NPI assigned: Dec 9, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Kyo Autism Therapy, LLC Community/Behavioral Health Agency · Daly City, CA · NPI 1720212749

NPD (past) BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Education

State licenses

License	State	Type	Specialty
RBT-16-22874	CA	MD	Other Technician

Practice roles

Organization	Specialty	Status	New patients
Kyo Autism Therapy, LLC	Behavior Analyst	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Other Technician	247200000X	RBT-16-22874	CA
Behavior Analyst	103K00000X	1-21-48453	CA	Yes

Addresses

Primary practice location

7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5954

Mailing address

36 Monterey Blvd Ste a
San Francisco, CA 94131-3235
Phone (877) 264-6747

Other providers in Walnut Park, CA

All providers in Walnut Park, CA · Behavior Analyst in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2021. 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.

Verify at the official NPI Registry.