Sara C Medina
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1982195368
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1982195368
- Entity type
- Individual (NPI-1)
- Name
- Sara C Medina
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2018
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
6271 Sw 20th TerMiami, FL 33155-2054
Phone 305-492-9051
Mailing address
6271 Sw 20th TerMiami, FL 33155-2054
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