Ivan Medina
Ivan Medina is a Behavior Technician in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2739 Navajo StSanta Rosa, CA 95403-3223
Phone: (707) 331-3647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1609619592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2024 |
| Last updated in NPPES | June 17, 2024 |
| Certification date | June 17, 2024 |
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