Amanda Medina

NPI #1992387286 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1992387286
Entity Type: Individual
Name: Amanda Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2021
Last Updated: Apr 26, 2021

Practice Location

Address: 1817 WELLSPRING AVE SE STE D
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-4956
Phone: (505) 828-3837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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