Individual provider · Type 1 NPI

Gabriel Rolando Medina

Behavior Technician · San Diego, CA

NPI number 1063910909 Active

Practice location

625 Pennsylvania Ave
San Diego, CA 92103-4321

Mailing address

4050 Wabash Ave Apt 6
San Diego, CA 92104-2152

Other practice locations

  • 4050 Wabash Ave Apt 6, San Diego, CA 92104-2152 · (858) 200-6783

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1063910909

Gabriel Rolando Medina's National Provider Identifier is 1063910909, issued on Jan 25, 2018. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 17, 2018.