NPI 1174390728

Juan Carlos Portela Medina

Practitioner Behavior Analyst Bedford, MA

Practice location

Address: 23 Crosby Dr STE 300, Bedford, MA 01730-1423
Phone: (781) 832-3146

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1174390728
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2023
Record last updated: 5 Dec 2023

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.