Individual
CELIA JEANNE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 SARATOGA AVE, SAN JOSE, CA 95129-4934
(877) 991-0009
(818) 241-6853
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42628
CA
Other
Enumeration date
03/16/2018
Last updated
07/01/2020
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