Active NPIIndividual provider

Juan C Portela Medina

Behavior Analyst in Bedford, Massachusetts

NPI Number1174390728
Practice location
23 Crosby Dr Ste 300, Bedford, MA 01730-1423
Fax
—
Last updated
December 5, 2023

Juan Carlos Portela Medina is a Behavior Analyst based in Bedford, MA. Juan Carlos Portela Medina practices in Bedford, MA. The NPI Number for Juan Carlos Portela Medina is 1174390728. The current practice location address for Juan Carlos Portela Medina is 23 Crosby Dr Ste 300, Bedford, MA 01730-1423 and can be reached out via phone at 781-832-3146.

Provider Profile Details

NPI Number
1174390728
Provider Name
Juan Carlos Portela Medina
Provider Entity Type
Individual
Gender
Male
Address
23 Crosby Dr Ste 300, Bedford, MA 01730-1423
Phone Number
781-832-3146
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2023
Last Update Date
December 5, 2023
Certification Date
December 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Crosby Dr Ste 300
Bedford, MA 01730-1423
Zip
01730-1423
Phone Number
781-832-3146
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
23 Crosby Dr Ste 300
Bedford, MA 01730-1423
City
Bedford
State
MA
Zip
01730-1423

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Juan C Portela Medina?

The NPI number of Juan C Portela Medina is 1174390728. It was assigned on December 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Juan C Portela Medina?

Juan C Portela Medina is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Juan C Portela Medina practice?

The practice location is 23 Crosby Dr Ste 300, Bedford, MA 01730-1423. The office can be reached at 781-832-3146 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174390728 directly on the NPPES registry website.

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