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

Samantha Mediodia

Individual provider Behavior Technician · NPI 1609551837

Samantha Mediodia is a Behavior Technician in San Jose, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4030 Moorpark Ave Ste 105
San Jose, CA 95117-1848
Phone: (669) 205-1778
Fax: (855) 568-2494
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1609551837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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