Wilesca Medina Cid
Behavior Technician in Cape Coral, FL. Individual provider (NPI-1).
NPI number1063251908
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1063251908
- Entity type
- Individual (NPI-1)
- Name
- Wilesca Medina Cid
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-246139 | FL | Yes |
Practice location
1801 Nw 7th TerCape Coral, FL 33993-7124
Phone 239-371-3341
Mailing address
1801 Nw 7th TerCape Coral, FL 33993-7124
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