Citlali Thalia Medina

NPI #1528743358 in Westlake Vlg, California

Provider Information

NPI Number: 1528743358
Entity Type: Individual
Name: Citlali Thalia Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 19, 2023
Last Updated: Jun 19, 2023

Practice Location

Address: 2625 TOWNSGATE RD STE 102
City: Westlake Vlg
State: California
ZIP Code: 91361-5726
Phone: (805) 413-3009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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