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

Jacqueline Medina

Individual provider Behavior Technician · NPI 1942943774

Jacqueline Medina is a Behavior Technician in Anaheim, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

743 N Philadelphia St
Anaheim, CA 92805-2738
Phone: (714) 768-0774
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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 number1942943774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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