MIRIAM MEDINA (NPI# 1871068346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871068346 |
| Entity Type | Individual |
| Full Name | MIRIAM MEDINA |
| Practice Address |
150 Glen Cove Marina Rd E Ste 102 Vallejo CA 94591-7237 |
| Mailing Address |
3 White Fir Ct Napa CA 94558-6701 |
| Practice Telephone | 7075531784 |
| Mailing Telephone | 7073865575 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 White Fir Ct, Napa, CA 945586701 | 7073865575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235560558 | Miriam Medina | Speech-Language Pathologist | 111 E Lake Mary Bvld, Suite 113, Sanford, FL 32773 | 2013-12-12 |
| 1548578081 | Miriam Medina | Pharmacist | 7800 Us Highway 17/92, Fern Park, FL 32730-2243 | 2010-09-17 |
| Street Address |
150 GLEN COVE MARINA RD E STE 102 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-7237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255797544 | Sarah Spring | Behavioral Analyst | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2016-01-03 |
| 1316545098 | Nia High | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-10-14 |
| 1710590369 | Alexis Villote | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-08-24 |
| 1710599295 | Alyssa Noel Broman | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-08-17 |
| 1063022473 | Fabiola Esparza | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-08-01 |
| 1174141493 | Cassandra Gabrielle Lopez | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-07-13 |
| 1053938258 | Mariah Michelle Andersen | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-07-03 |
| 1710509633 | Amy Laree Mckay | Behavioral Analyst | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2020-05-13 |
| 1346889219 | Angelisa Monica Romo-armaz | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2019-12-24 |
| 1902442619 | Daniel Ayala-ayala | Behavior Technician | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| 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 |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1255940987 | Aaliyah Nicole Wood | Behavior Technician | 121 Misty Ct, Vallejo, CA 94589-3238 | 2020-07-28 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1225664840 | Cynthia Damiana Moreno | Behavior Technician | 1203 York St, Vallejo, CA 94590-6346 | 2020-03-15 |
| 1285267393 | Nathan James Antolin | Behavior Technician | 190 Maurine Ct, Vallejo, CA 94590-8116 | 2020-02-17 |
| 1639701741 | Russell Hatch | Behavior Technician | 368 San Marcus Dr, Vallejo, CA 94590-7355 | 2020-02-06 |
| 1003448366 | Jaylen Deandre Tregle | Behavior Technician | 216 Clearpointe Dr, Vallejo, CA 94591-8285 | 2020-02-05 |
| 1972140325 | Adam Aguilar | Behavior Technician | 243 Woodson Way, Vallejo, CA 94591-4153 | 2019-12-04 |
| 1093369613 | Jaclyn Aliana Mariano | Behavior Technician | 249 Fairhaven Way, Vallejo, CA 94591-7266 | 2019-07-31 |
| 1336703669 | Dalanii Delacruz | Behavior Technician | 420 Annette Ave, Vallejo, CA 94591-6574 | 2019-04-22 |
| Find all providers in VALLEJO | ||||
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| 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.