Individual provider · Type 1 NPI

Mario Josue Medina

Behavior Technician · Gardena, CA

NPI number 1134081011 Active

Practice location

879 W 190th St Ste 1000
Gardena, CA 90248-4255

Call (424) 296-9448 Map

Mailing address

1031 Harbor Heights Dr Apt C
Harbor City, CA 90710-3084

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 1134081011

Mario Josue Medina's National Provider Identifier is 1134081011, issued on Nov 29, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Gardena, CA. The record was last updated on Dec 1, 2025.