FABIOLA MEDRANO
NPI 1386172625
Behavior Analyst in Red Bank, NJ

Q: What is Fabiola Medrano's NPI number?

The NPI number for Fabiola Medrano is 1386172625. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Q: What is Fabiola Medrano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fabiola Medrano was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since May 31, 2017

125 HALF MILE RD STE 200, RED BANK, NJ 07701(855) 832-6727(772) 675-9100 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2021, Apr 14, 2020, May 31, 2017 (3 updates tracked since 2017).

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About Fabiola Medrano NPPES

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

FABIOLA MEDRANO (NPI 1386172625) is an individual behavior analyst provider in Red Bank, New Jersey, licensed in Florida (1-19-38867) and active in the NPI registry since May 2017. She maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1386172625

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameFABIOLA MEDRANO

Location Address125 HALF MILE RD STE 200Red Bank, NJ 07701-6749

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (855) 832-6727 · Fax (772) 675-9100

Phone(855) 832-6727

Fax(772) 675-9100

Sole ProprietorNo

Enumeration DateMay 31, 2017

Last NPPES UpdateMay 10, 20213 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1386172625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-19-38867

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.

Also ListedAssistant Behavior AnalystTaxonomy 106E00000X · License 0-19-9575 (FL)

Also ListedBehavior TechnicianTaxonomy 106S00000X

125 HALF MILE RD STE 200, Red Bank, NJ 07701

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Secondary Practice Location 1

Location 11563 Kingsley Ave Ste 103Orange Park, FL 32073-4503 · Phone (904) 602-9740

Other Identifiers 1

Medicaid009093700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

ANGELA TERESE MELLONE BCBA

Behavior Analyst