Medrano, Fabiola

Medrano, Fabiola is an individual health care provider with primary practice located at 125 Half Mile Rd Ste 200 , Red Bank NJ 07701-6749. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Medrano, Fabiola can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
125 Half Mile Rd Ste 200 Red Bank NJ 07701-6749
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-19-9575 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-38867 Florida

Profile Details

NPI number 1386172625
LBN Legal business name Medrano, Fabiola
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2017
Last updated May 10th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386172625 NPPES
Florida MEDICAID 009093700

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