IVAN MEDINA
NPI 1609619592
Behavior Technician in Santa Rosa, CA
About Ivan Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN MEDINA (NPI 1609619592) is an individual behavior technician in Santa Rosa, California and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses
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 Ivan Medina's NPI number?
The NPI number for Ivan Medina is 1609619592. It was assigned to this individual provider in the NPPES registry on June 17, 2024.
Where is Ivan Medina located?
Ivan Medina practices at 2739 Navajo St, Santa Rosa, CA 95403. The listed phone number is (707) 331-3647.
What is Ivan Medina'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 Ivan Medina was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.