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

Jacqueline Medina Lage, RBT

Individual provider Behavior Technician · NPI 1689368656

Jacqueline Medina Lage, RBT is a Behavior Technician in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

7117 Robindale Rd
Tampa, FL 33619-4723
Phone: (813) 550-7293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 23-275532 (FL)

Record details

NPI number1689368656
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateMay 30, 2023

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