Meckency Guadalupe Medina

NPI #1891424685 in Moore, Oklahoma

Provider Information

NPI Number: 1891424685
Entity Type: Individual
Name: Meckency Guadalupe Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 7, 2022
Last Updated: Jun 7, 2022

Practice Location

Address: SW 134TH STREET
City: Moore
State: Oklahoma
ZIP Code: 73165
Phone: (855) 324-0885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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