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Individual
JERMAINE MEDINA
Active
Individual
JERMAINE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0989
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/04/2020
Last updated
04/01/2026
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