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Individual
CYNTHIA MEDINA
Active
Individual
CYNTHIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205101342
NPI
—
Enumeration date
01/07/2019
Last updated
09/28/2022
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