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

Nicholas Medina

Individual provider Behavior Technician · NPI 1790249209

Nicholas Medina is a Behavior Technician in San Jose, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1479 Saratoga Ave
San Jose, CA 95129-4934
Phone: (877) 991-0009
Fax: (818) 241-6853
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1790249209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020

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