Individual provider · Type 1 NPI

Nicole Medina, BCBA

Behavior Analyst · Pembroke Pines, FL

NPI number 1285023598 Active

Practice location

2010 NW 150th Ave
Pembroke Pines, FL 33028-2887

Mailing address

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: 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…

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About NPI 1285023598

Nicole Medina, BCBA's National Provider Identifier is 1285023598, issued on Jan 10, 2015. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Aug 29, 2025.