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NPI Code Detail

MEDICARE: ROSINEY N/A MEDINA SANCHEZ

MEDICARE:   ROSINEY N/A MEDINA SANCHEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1710834510
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSINEY N/A MEDINA SANCHEZ
Provider Business Mailing Address
First Line : 15277 MANZANITA ST
Second Line :
City : HESPERIA
State : CA
Zip : 92345-1629
Country : US
Telephone Number : 760-552-9187
Fax Number :
Provider Business Practice Location Address
First Line : 15277 MANZANITA ST
Second Line :
City : HESPERIA
State : CA
Zip : 92345-1629
Country : US
Telephone Number : 760-552-9187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ ROSINEY N/A MEDINA SANCHEZ ” Practice Location

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