Emiliana Nicole Medina

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-286002 Issued in FL

Practice address

3332 Torremolinos Ave
Doral, FL 33178-2955

Phone

(786) 348-3672

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Florida Therapy & Wellness Associates Inc

  • Case Management Agency
  • Doral, FL
  • NPI 1316307549
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1629750146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 TORREMOLINOS AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782955",
            "telephone_number": "786-348-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 TORREMOLINOS AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782955",
            "telephone_number": "786-348-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "EMILIANA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-286002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicor Healthchoice Inc (Medicor Healthcare Inc.)
• Medicsleep LLC
• Medilara Inc
• Cristian Jafet Medina
• Daniel Medina
• Guillermo Medina
• Michelle M. Medina, R.N.
• Paula Liliana Medina, DC
• Mediquip Unlimited Inc.
• Medivance DME LLC

• Behavior Technician in Doral, FL
• Providers in Doral, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.