Individual
ASHLEY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 NORTH FLORIDA AVE SUITE D-1458, TAMPA, FL 33604-6007
(185) 583-2672
Mailing address
7108 SOUTH KANNER HWY, STUART, FL 34997-7462
(813) 696-0700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12584354
FL
Other
Enumeration date
02/12/2021
Last updated
11/06/2025
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