Individual
ADRIAN J. MEDINA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1401 SE GOLDTREE DR STE 101, PORT ST LUCIE, FL 34952-7584
(772) 212-7539
(772) 673-8392
Mailing address
2142 SE HOLLAND ST, PORT ST LUCIE, FL 34952-4828
(682) 556-8109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-476988
FL
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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