KEVIN MEDINA PALENZUELA RBT
NPI 1073353520
Behavior Technician in Fort Myers, FL

Active since May 30, 2024
4578 WINKLER AVE APT 204, FORT MYERS, FL 33966(239) 371-6243 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Medina Palenzuela Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN MEDINA PALENZUELA RBT (NPI 1073353520) is an individual behavior technician in Fort Myers, Florida, licensed in Florida (24-350427) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1073353520
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKEVIN MEDINA PALENZUELACredential: RBT
Location Address4578 WINKLER AVE APT 204Fort Myers, FL 33966-7025
Mailing Address4578 Winkler Ave Apt 204Fort Myers, FL 33966-7025 · (239) 371-6243
Sole ProprietorYes
Enumeration DateMay 30, 2024
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1073353520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in FL · 24-350427
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
4578 WINKLER AVE APT 204, Fort Myers, FL 33966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Medina Palenzuela's NPI number?

The NPI number for Kevin Medina Palenzuela is 1073353520. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Kevin Medina Palenzuela located?

Kevin Medina Palenzuela practices at 4578 Winkler Ave Apt 204, Fort Myers, FL 33966. The listed phone number is (239) 371-6243.

What is Kevin Medina Palenzuela's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kevin Medina Palenzuela was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.