Individual
ADRIANA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7795
(631) 385-7795
Mailing address
52 DOSORIS LN, GLEN COVE, NY 11542-1541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
10/10/2019
Last updated
05/05/2025
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