NPI 1003454307

Manuel J Medina

Practitioner Behavior Technician Oklahoma City, OK

Practice location

Address: 2700 S Shartel Ave, Oklahoma City, OK 73109-2234
Phone: (405) 752-2264
Mailing address: 13404 N Meridian Ave, Oklahoma City, OK 73120-8311

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 18-56801 (OK)

Other Behavior Technician providers in Oklahoma →

Registry record

NPI: 1003454307
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2019
Record last updated: 17 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.