Individual
MRS. MEGAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
1 ODELL PLZ, YONKERS, NY 10701-1402
(914) 965-1152
Mailing address
417 N HIGHLAND AVE, NYACK, NY 10960-1337
(845) 535-3167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1203267
NY
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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