HEIDE IRIDIAN MEDINA

OAK PARK, IL
NPI1780170373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  12258382)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-07-06
Last Update Date2022-03-31
Business Address
Mrs. HEIDE IRIDIAN MEDINA MA BCBA
6930 ROOSEVELT RD
OAK PARK, IL 60304-1845
Phone number: 708-358-3000
Mailing Address
Mrs. HEIDE IRIDIAN MEDINA MA BCBA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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