Individual provider · Type 1 NPI

Idanely Rodriguez Medina

Behavior Analyst · New Port Richey, FL

NPI number 1770210635 Active

Practice location

7752 Damask Ln
New Port Richey, FL 34654-6305

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Behavior Technician 106S00000XNone 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 1770210635

Idanely Rodriguez Medina's National Provider Identifier is 1770210635, issued on Aug 2, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in New Port Richey, FL. The record was last updated on Mar 10, 2026.