Juan Carlos Portela Medina
NPI #1174390728 in Bedford, Massachusetts
Provider Information
- NPI Number
- 1174390728
- Entity Type
- Individual
- Name
- Juan Carlos Portela Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 5, 2023
- Last Updated
- Dec 5, 2023
Practice Location
- Address
- 23 CROSBY DR STE 300
- City
- Bedford
- State
- Massachusetts
- ZIP Code
- 01730-1423
- Phone
- (781) 832-3146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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