Individual provider · Type 1 NPI

Heide Iridian Medina, MA BCBA

Behavior Analyst · Oak Park, IL

NPI number 1780170373 Active

Practice location

6930 Roosevelt Rd
Oak Park, IL 60304-1845

Call (708) 358-3000 Map

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X12258382 (IL)

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 1780170373

Heide Iridian Medina, MA BCBA's National Provider Identifier is 1780170373, issued on Jul 6, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Oak Park, IL. The record was last updated on Mar 31, 2022.