ESTEFANI MEDINA
NPI 1104395912
Behavior Technician in Downey, CA

Active since November 21, 2018PECOS Enrolled
12432 BELLFLOWER BLVD, DOWNEY, CA 90242(818) 241-6780(818) 241-6853 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Estefani Medina NPPES

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

ESTEFANI MEDINA (NPI 1104395912) is an individual behavior technician in Downey, California and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104395912
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameESTEFANI MEDINA
Location Address12432 BELLFLOWER BLVDDowney, CA 90242-2806
Mailing Address9680 Sycamore Canyon RdMoreno Valley, CA 92557-1813 · (909) 685-8521
Fax(818) 241-6853
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2018
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1104395912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 123566 (CA)
12432 BELLFLOWER BLVD, Downey, CA 90242

Other Names 1

Former Name (1)Estefani Medina

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Estefani Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769953447
PECOS Enrollment IDI20260603002411
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Analyst
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242
Behavior Technician
12432 BELLFLOWER BLVD
DOWNEY, CA 90242

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 Estefani Medina's NPI number?

The NPI number for Estefani Medina is 1104395912. It was assigned to this individual provider in the NPPES registry on November 21, 2018.

Where is Estefani Medina located?

Estefani Medina practices at 12432 Bellflower Blvd, Downey, CA 90242. The listed phone number is (818) 241-6780.

What is Estefani Medina's specialty?

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

Is Estefani Medina enrolled in Medicare?

Yes. Estefani Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Estefani Medina was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.