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

Jiavanna Medlock

Individual provider Behavior Technician · NPI 1134752074

Jiavanna Medlock is a Behavior Technician in Sparks, Maryland. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

14550 York Rd
Sparks, MD 21152-9307
Phone: (240) 616-3861
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 number1134752074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

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