Individual
JERMAINE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 N RANCHO DR STE 108, LAS VEGAS, NV 89130-3151
(702) 990-0326
Mailing address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
(702) 850-2691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0989
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/04/2020
Last updated
04/01/2026
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