Provider Demographics
NPI:1982212288
Name:MENDEZ, FELIX JR
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:MENDEZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4318 148TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-1823
Mailing Address - Country:US
Mailing Address - Phone:425-492-5322
Mailing Address - Fax:
Practice Address - Street 1:4318 148TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-1823
Practice Address - Country:US
Practice Address - Phone:425-492-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst