Medina Shakya

NPI #1700746229 in Springfield, Virginia

Provider Information

NPI Number: 1700746229
Entity Type: Individual
Name: Medina Shakya
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2025
Last Updated: Nov 19, 2025

Practice Location

Address: 7420 FULLERTON RD STE 110
City: Springfield
State: Virginia
ZIP Code: 22153-2836
Phone: (571) 463-7174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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