Individual provider · Type 1 NPI
Jacqueline Medina
Specialist · Bronx, NY
NPI number
1346024882
Active
Practice location
253 E 142nd St Apt 6P
Bronx, NY 10451-5947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1346024882
Jacqueline Medina's National Provider Identifier is 1346024882, issued on Aug 24, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on May 15, 2025.