Jason Robert Medina
NPI #1013802701 in Tarzana, California
Provider Information
- NPI Number
- 1013802701
- Entity Type
- Individual
- Name
- Jason Robert Medina
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 11, 2025
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 5554 RESEDA BLVD STE 203
- City
- Tarzana
- State
- California
- ZIP Code
- 91356
- Phone
- (800) 683-3522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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