Individual
ELYANA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 NE 3RD AVE STE 6, CAPE CORAL, FL 33909-2538
(239) 789-0041
Mailing address
1142 NW 18TH PL, CAPE CORAL, FL 33993-5900
(239) 308-2923
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-24-327965
FL
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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