Provider Demographics
NPI:1205367281
Name:CUJIA MENDOZA, MARIA I
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:I
Last Name:CUJIA MENDOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SANTIAGO & FRIENDS/FAMILY CENTER FOR AUSTISM
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-3919
Mailing Address - Country:US
Mailing Address - Phone:407-895-0801
Mailing Address - Fax:407-930-2569
Practice Address - Street 1:8617 E COLONIAL DR STE 1100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-3919
Practice Address - Country:US
Practice Address - Phone:407-895-0801
Practice Address - Fax:407-930-2569
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician