Active NPI
Christian Medina Pagan
- Behavior Technician
- Tampa, FL
National Provider Identifier
1710855812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6421 N Florida Ave Ste D-1458
Tampa, FL 33604-6007 - Phone
- (813) 409-4122
- NPI assigned
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
6421 N Florida Ave Ste D-1458
Tampa, FL 33604-6007
Mailing address
917 Washington Palm Loop Unit 917.5
Davenport, FL 33897-1652
Phone (407) 697-4812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1710855812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 WASHINGTON PALM LOOP UNIT 917.5",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338971652",
"telephone_number": "407-697-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 N FLORIDA AVE STE D-1458",
"city": "TAMPA",
"state": "FL",
"postal_code": "336046007",
"telephone_number": "813-409-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA PAGAN",
"first_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-29",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.