Provider Demographics
NPI:1265019046
Name:MENENDEZ, FAITH PAULINE
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:PAULINE
Last Name:MENENDEZ
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 1:6908 ROLLING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-7544
Mailing Address - Country:US
Mailing Address - Phone:661-332-7428
Mailing Address - Fax:
Practice Address - Street 1:6908 ROLLING RIDGE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-7544
Practice Address - Country:US
Practice Address - Phone:661-332-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician