Irene Medina

NPI #1801381439 in Valdosta, Georgia

Provider Information

NPI Number: 1801381439
Entity Type: Individual
Name: Irene Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 26, 2018
Last Updated: Jun 26, 2018

Practice Location

Address: 2225 BEMISS RD STE D
City: Valdosta
State: Georgia
ZIP Code: 31602-4819
Phone: (800) 832-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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