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

Mrs. Heide Iridian Medina, MABCBA

Individual provider Behavior Technician · NPI 1780170373

Mrs. Heide Iridian Medina, MABCBA is a Behavior Technician in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2

Practice location Address checks out

6930 Roosevelt Rd
Oak Park, IL 60304-1845
Phone: (708) 358-3000
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12258382 (IL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1780170373
Entity typeIndividual (Type 1)
GenderFemale
Credentials MABCBA
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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