Tiffany Medina

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-79061 Issued in FL

Practice address

626 N Alafaya TRL Ste 206
Orlando, FL 32828-4353

Phone

(689) 326-7019

NPI assigned

Mar 2, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willow Path ABA & Learning LC

  • Community/Behavioral Health Agency
  • Maitland, FL
  • NPI 1184598518
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1174063689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N ALAFAYA TRL STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284353",
            "telephone_number": "689-326-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N ALAFAYA TRL STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284353",
            "telephone_number": "689-326-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-79061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Medina, MSS
• Reynaldo Medina
• Roberto E Medina, MD
• Stephanie M Medina
• Theresa Maria Medina, FNP
• Vicmar Medina
• Wanda Medina
• Wilson Alfredo Medina II, MD
• Rashmi Mediratta, MD
• Mediride Transportation LLC

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.