MARIE ALYCE MEDECK BEHAVIORAL THERAPIST
NPI 1588158265
Behavior Analyst in Garden Grove, CA

Q: What is Marie Medeck's NPI number?

The NPI number for Marie Medeck is 1588158265. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Marie Medeck'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 Marie Medeck was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 18, 2018

12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(855) 223-7123 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, Jun 18, 2018 (2 updates tracked since 2018).

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About Marie Alyce Medeck Behavioral Therapist NPPES

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

MARIE ALYCE MEDECK BEHAVIORAL THERAPIST (NPI 1588158265) is an individual behavior analyst provider in Garden Grove, California and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1588158265

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMARIE ALYCE MEDECKCredential: BEHAVIORAL THERAPIST

Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658

Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (714) 784-7516

Phone(855) 223-7123

Sole ProprietorNo

Enumeration DateJune 18, 2018

Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration

NPPES CertifiedOctober 4, 2021

✔ NPI 1588158265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

12465 LEWIS ST STE 102, Garden Grove, CA 92840

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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.

RYAN ELIZABETH-ROSE FISH

Behavior Technician