Jacqueline Medina
Jacqueline Medina is an Assistant Behavior Analyst in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
253 E 142nd St Apt 6PBronx, NY 10451-5947
Phone: (646) 318-2093
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|---|
| Assistant Behavior Analyst | Taxonomy 106E00000X (NY) |
Record details
| NPI number | 1346024882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 24, 2023 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 253 E 142nd St Apt 6p, Bronx, NY 10451-5947 |
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