MICHAEL MEDINA (NPI# 1487122164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487122164 |
| Entity Type | Individual |
| Full Name | MICHAEL MEDINA |
| Practice Address |
36 Oak Ln Mountain View CA 94040-2629 |
| Mailing Address |
2390 Lucretia Ave Apt 208 San Jose CA 95122-4217 |
| Practice Telephone | 6509383600 |
| Mailing Telephone | 4087107060 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-41598 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1548815731 | Michael Medina | Physician Assistant | 5546 Broadway, Bronx, NY 10463-5250 | 2019-08-05 |
| 1114461522 | Michael Medina | Behavior Technician | 201 Saint Charles Ave Ste 2500, New Orleans, LA 70170-2500 | 2016-12-05 |
| 1467879429 | Michael Medina | Licensed Practical Nurse | 1510 Waters Pl, Bronx, NY 10461-2700 | 2014-03-27 |
| 1417299538 | Michael Medina | Student in an Organized Health Care Education/Training Program | 301 University Blvd # 2-a, Galveston, TX 77555-0591 | 2013-03-27 |
| 1093979783 | Michael V Medina IIi | Otolaryngology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2008-07-11 |
| 1356503056 | Michael Medina | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2008-06-25 |
| Street Address |
36 OAK LN |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710298500 | Therapeutic Learning Consultants, Inc. | Marriage & Family Therapist | 36 Oak Ln, Mountain View, CA 94040-2629 | 2010-06-25 |
| 1629679097 | Samantha H Maciel | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-11-03 |
| 1023618568 | Elise K Green | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1841890381 | Daniel Julio Isais | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1831799378 | Carissa A. Shurman | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1093314924 | Erika Neftali Velazquez Trejo | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-21 |
| 1083212146 | Libni Yareth Gamez Suarez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1801494976 | Wendy Tran | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1265030332 | Jenedith Gabriela Jacquez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1790382588 | Sydney Charisse Steger | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425123 | Yasaman Nourkhalaj | Behavior Technician | 229 Palo Alto Ave, Mountain View, CA 94041-1115 | 2019-09-06 |
| 1316416530 | Adriana Amaya | Behavior Technician | 1075 Space Park Way Spc 316, Mountain View, CA 94043-1414 | 2018-11-16 |
| 1629679097 | Samantha H Maciel | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-11-03 |
| 1023618568 | Elise K Green | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1841890381 | Daniel Julio Isais | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1831799378 | Carissa A. Shurman | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1093314924 | Erika Neftali Velazquez Trejo | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-21 |
| 1083212146 | Libni Yareth Gamez Suarez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1801494976 | Wendy Tran | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1265030332 | Jenedith Gabriela Jacquez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
Please comment or provide details below to improve the information on MICHAEL MEDINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.