Most Relevant Information
Provider Data
| NPI Number: | 1003338526 |
| Provider Name: | RAYNOLD MEDINA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 05/11/2024 |
Provider Practice Location
150 E 1ST AVE APT 1207
HIALEAH
FL
330104961
Practice Location Phone/Fax
| Phone: | 7863037782 |
| Fax: |
Provider Mailing Location
150 E 1ST AVE APT 1207
HIALEAH
FL
330104961
Provider Mailing Phone/Fax
| Phone: | 7863037782 |
| Fax: |