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

Jessica Marie Medina

Individual provider Behavior Technician · NPI 1134922826

Jessica Marie Medina is a Behavior Technician in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12735 Gran Bay Pkwy W Ste 204
Jacksonville, FL 32258-4499
Phone: (888) 754-0398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134922826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 29, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 28, 2025

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