Provider Demographics
NPI:1891559290
Name:MENDEZ-FILIDOR, JASMINE
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:MENDEZ-FILIDOR
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 1:8472 SVL BOX # 13225
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5169
Mailing Address - Country:US
Mailing Address - Phone:626-774-6293
Mailing Address - Fax:
Practice Address - Street 1:13225 AUTUMN LEAVES AVE
Practice Address - Street 2:8472 SVL BOX
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5169
Practice Address - Country:US
Practice Address - Phone:626-774-6293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst