Evette Medina, is a
Behavior Technician based in San Jose, California. Evette Medina is licensed to practice in * (Not Available) (license number ) and her current practice location is
1887 Monterey Hwy Ste 225, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 706-6855.
NPI number for Evette Medina is 1881164234 and her current mailing address is 16782 Von Karman Ave Ste 11, Irvine, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881164234.
Healthcare Provider's Profile
| Full Name | Evette Medina |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
|---|
| Location | 1887 Monterey Hwy Ste 225, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881164234
- Provider Enumeration Date: 11/28/2018
- Last Update Date: 12/07/2018
Medical Identifiers
Medical identifiers for Evette Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881164234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evette Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evette Medina,
16782 Von Karman Ave Ste 11,
Irvine, CA 92606-2417
Ph: (949) 833-2237 | Evette Medina,
1887 Monterey Hwy Ste 225,
San Jose, CA 95112-6192
Ph: (408) 706-6855 |
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