Ashley Michelle Medellin
Behavior Technician in Chula Vista, CA. Individual provider (NPI-1).
NPI number1104720192
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1104720192
- Entity type
- Individual (NPI-1)
- Name
- Ashley Michelle Medellin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2026
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
865 3rd Ave Ste 129Chula Vista, CA 91911-1300
Phone 619-830-4124
Mailing address
996 Royal Marco WayMarco Island, FL 34145-1829
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