Jennifer Medarac
Behavior Analyst
950 Windham Ct
Boardman
, Ohio 44512-5083
Jennifer Medarac
Behavior Analyst
950 Windham Ct
Boardman
, Ohio 44512-5083
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Jennifer Medarac
- 950 Windham Ct
- Boardman, OH
- Zip : 44512-5083
- Phone :
Second Address
- Jennifer Medarac
- 950 Windham Ct
- Boardman, OH
- Zip : 44512-5083
- Phone : (330) 629-2955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-21-53978 | PA |
National Provider Identifier
| NPI | 1003579079 |
|---|---|
| Provider Name | Jennifer Medarac |
| First Address | Boardman, OH 44512-5083 |
| Second Address | Boardman, OH 44512-5083 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2021 |
| Last Update Date | 05/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.