MRS. Heide Iridian Medina, MA BCBA

NPI #1780170373 in Oak Park, Illinois

Provider Information

NPI Number: 1780170373
Entity Type: Individual
Name: MRS. Heide Iridian Medina, MA BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MA BCBA
Enumeration Date: Jul 6, 2018
Last Updated: Mar 31, 2022

Practice Location

Address: 6930 ROOSEVELT RD
City: Oak Park
State: Illinois
ZIP Code: 60304-1845
Phone: (708) 358-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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