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JACQUELINE MEDINA
NPI 1104431220
Behavior Analyst in Ontario, CA

Active since September 15, 2020
1500 S HAVEN AVE STE 250, ONTARIO, CA 91761(909) 749-5204 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Medina NPPES

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

JACQUELINE MEDINA (NPI 1104431220) is an individual behavior analyst provider in Ontario, California and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1104431220
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJACQUELINE MEDINA
Location Address1500 S HAVEN AVE STE 250Ontario, CA 91761-2973
Mailing Address1500 S Haven Ave Ste 250Ontario, CA 91761-2973 · (909) 749-5204
Phone(909) 749-5204
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1104431220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1500 S HAVEN AVE STE 250, Ontario, CA 91761
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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.

AMBER LAQUITA PORTIS
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
ARELI MOYA
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
ANDREW TRUONG
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
JENNIFER ROSE
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
CLARENCE BOYKIN
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
SERENITY SCOTT
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
ANDREW PEREZ
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
XAVIER MADERE
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (749) 520-4909

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 Jacqueline Medina's NPI number?

The NPI number for Jacqueline Medina is 1104431220. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Jacqueline Medina located?

Jacqueline Medina practices at 1500 S Haven Ave Ste 250, Ontario, CA 91761. The listed phone number is (909) 749-5204.

What is Jacqueline Medina's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Medina was last updated on September 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.