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

Jonathan Lucas Medlock, BEHAVIORANALYST

Individual provider Behavior Technician · NPI 1710579370

Jonathan Lucas Medlock, BEHAVIORANALYST is a Behavior Technician in Cypress, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

12430 Grant Rd Ste A
Cypress, TX 77429-7912
Phone: (855) 782-7822
Show map & directions

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

Additional practice locations (1)

  • 555 William D Fitch Pkwy, College Station, TX 77845-6141 — (979) 314-0474

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7182 (TX)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1710579370
Entity typeIndividual (Type 1)
GenderMale
Credentials BEHAVIORANALYST
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address12430 Grant Rd Ste A, Cypress, TX 77429-7912

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