Active NPI
Patricia Rae Mendes
- Behavior Technician
- The Dalles, OR
National Provider Identifier
1922551704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- ABA-IN-10179784
- Practice address
- 401 E 3Rd St Ste 101
The Dalles, OR 97058-2563 - Phone
- (541) 298-2101
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ABA-IN-10179784 | OR | Primary |
Addresses
Primary practice location
401 E 3Rd St Ste 101
The Dalles, OR 97058-2563
Mailing address
401 E 3Rd St Ste 101
The Dalles, OR 97058-2563
Phone (541) 298-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-IN-10179784 | OR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1922551704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 3RD ST STE 101",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582563",
"telephone_number": "541-298-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E 3RD ST STE 101",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582563",
"telephone_number": "541-298-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDES",
"first_name": "PATRICIA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "ABA-IN-10179784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.