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

Mario Josue Medina

Individual provider Behavior Technician · NPI 1134081011

Mario Josue Medina is a Behavior Technician in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

879 W 190th St Ste 1000
Gardena, CA 90248-4255
Phone: (424) 296-9448
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1134081011
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 29, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

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