Individual
CASSIDY JACLYN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5729 SONOMA DR, SUITE F, PLEASANTON, CA 94566-7782
(925) 207-1482
Mailing address
5729 SONOMA DR, SUITE F, PLEASANTON, CA 94566-7782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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