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PRUDENCE MEDINA
NPI 1649671769
Behavior Analyst in Kirkland, WA

Active since September 08, 2014
12040 98TH AVE NE, KIRKLAND, WA 98034(425) 658-3016 Get Directions Write a Review

NPPES record last updated: September 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prudence Medina NPPES

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

PRUDENCE MEDINA (NPI 1649671769) is an individual behavior analyst provider in Kirkland, Washington and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1649671769
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NamePRUDENCE MEDINA
Location Address12040 98TH AVE NEKirkland, WA 98034-4290
Mailing Address12040 98th Ave NeKirkland, WA 98034-4290 · (425) 658-3016
Phone(425) 658-3016
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
✔ NPI 1649671769 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.
12040 98TH AVE NE, Kirkland, WA 98034
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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.

SHANNON STARKWEATHER
Behavior Analyst
12040 98TH AVE NE, #204
KIRKLAND, WA 98034
King County (425) 409-4806
ANNIE TRAN
Behavior Analyst
12040 98TH AVE NE, STE 204
KIRKLAND, WA 98034
King County (425) 658-3016
CLARA BUTLER
Behavior Analyst
12040 98TH AVE NE, STE 204
KIRKLAND, WA 98034
King County (425) 658-3016
MRS. ELIZABETH CANTWELL BACON M. ED., CCC, AAC
Counselor
12040 98TH AVE NE, SUITE 205
KIRKLAND, WA 98034
King County (440) 668-3373
MEGAN BEISLEY
Behavior Analyst
12040 98TH AVE NE, STE 204
KIRKLAND, WA 98034
King County (425) 658-3016
ANGELA MACKLIN
Behavior Analyst
12040 98TH AVE NE, STE 204
KIRKLAND, WA 98034
King County (425) 658-3016
ALEXA CHERVETS
Behavior Analyst
12040 98TH AVE NE, STE 204
KIRKLAND, WA 98034
King County (425) 658-3016
JENNIFER BLANCHARD
Behavior Analyst
12040 98TH AVE NE, STE 204
KIRKLAND, WA 98034
King County (425) 658-3016

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 Prudence Medina's NPI number?

The NPI number for Prudence Medina is 1649671769. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Prudence Medina located?

Prudence Medina practices at 12040 98th Ave NE, Kirkland, WA 98034. The listed phone number is (425) 658-3016.

What is Prudence 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 Prudence Medina was last updated on September 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.