Fabiola Medrano

Behavior Analyst · Red Bank, NJ

Individual Active NPI

NPI number 1386172625

Practice location

125 Half Mile Rd Ste 200
Red Bank, NJ 07701-6749

Phone: (855) 832-6727
Fax: (772) 675-9100

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NPI record

NPI: 1386172625
Entity type: Individual (Type 1)
Enumeration date: May 31, 2017
Last updated: May 10, 2021
Certified: May 10, 2021
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Behavior Analyst Primary	`103K00000X`	1-19-38867	FL
Assistant Behavior Analyst	`106E00000X`	0-19-9575	FL
Behavior Technician	`106S00000X`	—	—

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Phone: (855) 832-6727
Fax: (772) 675-9100

Other practice locations (1)

1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503 · (904) 602-9740

About Fabiola Medrano

Fabiola Medrano is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749. The NPI number 1386172625 was assigned on May 31, 2017 and the record was last updated on May 10, 2021.

Fabiola Medrano lists 2 licenses in the registry: #1-19-38867 (FL) for Behavior Analyst; #0-19-9575 (FL) for Assistant Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Fabiola Medrano?

The NPI number is 1386172625.

What is the phone number of Fabiola Medrano?

The phone number listed for the practice location is (855) 832-6727.

Where is Fabiola Medrano located?

125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749.

What is the taxonomy code for Fabiola Medrano?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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Kaytlyn Grissler125 Half Mile Rd
Jamie Marie Kelly, BCBA125 Half Mile Rd Ste 200
Carlene Christie Shorey125 Half Mile Road
Ysabel Margarita Dela Riva, BCBA125 Half Mile Rd Ste 200
Gabrielle Sclafani, BCBA54 Broad St
Karis Alongi, BCBA125 Half Mile Road
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