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Adriana Medina

Behavior Analyst in Melville, NY. Individual provider (NPI-1).

NPI number1003458043
StatusActive
Last updated in NPPESMay 5, 2025

Details

NPI
1003458043
Entity type
Individual (NPI-1)
Name
Adriana Medina
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2019
Certification date
May 5, 2025
Last updated
May 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst–NYYes

Practice location

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899

Phone 631-385-7795 · Fax 631-385-7795

Mailing address

52 Dosoris Ln
Glen Cove, NY 11542-1541

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