Individual
MINDY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 RACHEL RD APT C, MANCHESTER, CT 06042-2134
(860) 865-9696
Mailing address
96 RACHEL RD APT C, MANCHESTER, CT 06042-2134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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