Individual
HEATHER MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8020 W SAHARA AVE STE 160, LAS VEGAS, NV 89117-7917
(702) 595-5437
Mailing address
2711 FREE FORMED CT, LAS VEGAS, NV 89138-6168
(732) 259-1038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53988
NV
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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