Medina, Coral
Medina, Coral is an individual health care provider with primary practice located at 5415C Backlick Rd , Springfield VA 22151-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Medina, Coral can be contacted via phone (720) 505-6293.Contact Information
Primary practice address
5415C Backlick Rd
Springfield VA 22151-3915
Phone: (720) 505-6293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1992206619 |
|---|---|
| LBN Legal business name | Medina, Coral |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2018 |
| Last updated | Sep 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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