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

Marisol Medina

Individual provider Behavior Technician · NPI 1790430767

Marisol Medina is a Behavior Technician in Elk Grove, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone: (916) 226-2812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1790430767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

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