Jasmin I Medina

NPI #1013640465 in Albuquerque, New Mexico

Provider Information

NPI Number: 1013640465
Entity Type: Individual
Name: Jasmin I Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 5, 2022
Last Updated: Jul 5, 2022

Practice Location

Address: 8300 JEFFERSON ST NE STE B
City: Albuquerque
State: New Mexico
ZIP Code: 87113-1734
Phone: (844) 743-6506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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