MRS. Bailey Anne Medina

NPI #1467263319 in Kimberly, Idaho

Provider Information

NPI Number: 1467263319
Entity Type: Individual
Name: MRS. Bailey Anne Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 732 HEIDI TER
City: Kimberly
State: Idaho
ZIP Code: 83341-5425
Phone: (209) 617-0033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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