MIRIAM MEDINA


Address: 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237
Phone: 7075531784

MIRIAM MEDINA (NPI# 1871068346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3 White Fir Ct, Napa, CA 945586701 7073865575

Other Providers MIRIAM MEDINA

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

Office Location

Street Address 150 GLEN COVE MARINA RD E STE 102
City VALLEJO
State CA
Zip Code 94591-7237

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City VALLEJO
Zip Code 94591

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Dataset Information

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.

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