MS. Breanna Medina

NPI #1720720808 in La Habra, California

Provider Information

NPI Number: 1720720808
Entity Type: Individual
Name: MS. Breanna Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2022
Last Updated: Apr 10, 2022

Practice Location

Address: 1901 E LAMBERT RD STE 106
City: La Habra
State: California
ZIP Code: 90631-0502
Phone: (562) 298-0565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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