Individual
MICHELLE NATALIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10261 TRADEMARK ST STE C, RANCHO CUCAMONGA, CA 91730-5805
(909) 317-8499
Mailing address
4950 SAN BERNARDINO ST STE 101, MONTCLAIR, CA 91763-2328
(800) 749-1969
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
09/24/2024
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