Individual provider · Type 1 NPI

Marisa Mendiola

Peer Specialist · Indio, CA

NPI number 1811777972 Active

Practice location

47915 Oasis St
Indio, CA 92201-6950

Mailing address

81820 Shadow Palm Ave Apt 102
Indio, CA 92201-4050

Other practice locations

  • 11799 Sebastian Way Ste 103, Rancho Cucamonga, CA 91730-0708 · (909) 353-7547

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Peer Specialist Primary 175T00000XNone listed
Behavior Analyst 103K00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1811777972

Marisa Mendiola's National Provider Identifier is 1811777972, issued on Oct 4, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Indio, CA. The record was last updated on Aug 20, 2025.