Jeramiah Ivan Medina
Jeramiah Ivan Medina is a Behavior Technician in Brandon, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
213 N Parsons AveBrandon, FL 33510-4513
Phone: (813) 407-7275
Fax: (813) 521-7415
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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 | 1861224354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 14, 2024 |
| Mailing address | 10054 Meadowrun Dr, Lithia, FL 33547-2878 |
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