Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eliseo Medina Jr.

Individual provider Behavior Analyst · NPI 1558165183

Eliseo Medina Jr. is a Behavior Analyst in Garden Grove, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

12437 Lewis St Ste 100
Garden Grove, CA 92840-4651
Phone: (209) 596-8053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1558165183
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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