Kimberly Medrano Puga
Behavior Technician in Lancaster, CA. Individual provider (NPI-1).
NPI number1104740232
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1104740232
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Medrano Puga
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2026
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
626 W Lancaster Blvd Ste 52Lancaster, CA 93534-3108
Phone 661-258-3211
Mailing address
18726 S Western AveGardena, CA 90248-3813
Phone 310-856-0800 · Fax 855-568-2494
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All 446 Behavior Technician providers in Lancaster · All 5,365 providers in Lancaster
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