MANUEL J MEDINA (NPI# 1003454307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003454307 |
| Entity Type | Individual |
| Full Name | MANUEL J MEDINA |
| Practice Address |
2700 S Shartel Ave Oklahoma City OK 73109-2234 |
| Mailing Address |
13404 N Meridian Ave Oklahoma City OK 73120-8311 |
| Practice Telephone | 4057522264 |
| Mailing Telephone | 4057522264 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-56801 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740345404 | Manuel L. Medina | Social Worker | 4020 N Zapotec Ave, Eloy, AZ 85231-1160 | 2006-12-23 |
| 1952498867 | Manuel Medina IIi | Family Medicine | 610 W 17th St, Santa Ana, CA 92706-3621 | 2006-10-10 |
| 1205814761 | Manuel Medina | Radiology | Carr. #2 Marginal Urb. Villa Real, D-10, Vega Baja, PR 00693 | 2006-01-05 |
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1538792577 | Manuel Medina | Social Worker | 3414 W 84th St Ste 100, Hialeah Gardens, FL 33018-4932 | 2020-02-18 |
| 1558651935 | Manuel Medina | Student in an Organized Health Care Education/Training Program | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2011-04-19 |
| 1629004700 | Manuel Medina | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-06-23 |
| Street Address |
2700 S SHARTEL AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727033 | Gabriela Escobar | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1659919843 | Grace Lee | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-18 |
| 1437797735 | Leila M Murphy | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052896 | Trayea Lindemann | Behavior Technician | 6020 Nw 23rd St Apt 7, Oklahoma City, OK 73127-1205 | 2020-08-10 |
| 1417579814 | Matthew Douglas Parker | Behavior Technician | 13905 Technology Dr, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1861014185 | Mallory Nicole Fletcher | Behavior Technician | 13905 Technology Dr # A1, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1043832363 | Calli Nicole Sullins | Behavior Technician | 13905 Technology Dr Ste A1, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1639705056 | Erica Pepper | Behavior Technician | 5100 N Brookline Ave Ste 525, Oklahoma City, OK 73112-3627 | 2020-03-17 |
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1730727033 | Gabriela Escobar | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1669018966 | Katie May Britt | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2019-11-21 |
| 1821553223 | Rodney Daniels Jr. | Behavior Technician | 1411 Ne 37th St, Oklahoma City, OK 73111-5015 | 2019-02-10 |
| 1689180077 | Bailey Grogg | Behavior Technician | 401 E Memorial Rd Ste 700, Oklahoma City, OK 73114-2287 | 2017-12-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on MANUEL J MEDINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.