Individual
KATHLEEN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
369 MILL DAM RD, CHESWICK, PA 15024-4103
(412) 848-6490
Mailing address
369 MILL DAM RD, CHESWICK, PA 15024-4103
(412) 848-6490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36106
PA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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