Most Relevant Information
Provider Data
| NPI Number: | 1003699950 |
| Provider Name: | LAURA MEDINA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
1300 STINE RD
BAKERSFIELD
CA
933094161
Practice Location Phone/Fax
| Phone: | 6616176040 |
| Fax: |
Provider Mailing Location
1300 STINE RD
BAKERSFIELD
CA
933094161
Provider Mailing Phone/Fax
| Phone: | 6616176040 |
| Fax: |