Individual
KAITLYN D MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 CALLE DEL SOL, BRAWLEY, CA 92227-7748
(760) 550-0659
Mailing address
1115 CALLE DEL SOL, BRAWLEY, CA 92227-7748
(760) 550-0659
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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