Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew G Medina, MA, LBA, BCBA

Individual provider Behavior Analyst · NPI 1811549835

Andrew G Medina, MA, LBA, BCBA is a Behavior Analyst in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2919 S Ellsworth Rd Ste 115
Mesa, AZ 85212-2165
Phone: (602) 579-7961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-66131 (AZ)

Record details

NPI number1811549835
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LBA , BCBA
Sole proprietorNo
NPI enumeratedJuly 10, 2019
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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