Jade Medina

NPI #1063000859 in Westchase, Florida

Provider Information

NPI Number
1063000859
Entity Type
Individual
Name
Jade Medina
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 6, 2021
Last Updated
Jan 6, 2021

Practice Location

Address
12725 RACE TRACK RD BLDG 5
State
Florida
ZIP Code
33626-1314
Phone
(866) 610-0580

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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