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

Tim Jo Medina

Individual provider Behavior Analyst · NPI 1396358990

Tim Jo Medina is a Behavior Analyst in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

3186 Airway Ave Ste A
Costa Mesa, CA 92626-4650
Phone: (714) 881-0427
Fax: (714) 327-0673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1396358990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020
Mailing address3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650

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