Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1184016388 Deactivated / Inactive NPI Male Practitioner

Michael Medlin , BCBA

Behavior Analyst • Lakeland, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Medlin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2015
NPI Deactivation Date July 16, 2026
Total Practice Duration ~11 Years of Practice (2015 – 2026)

Professional Overview & Biography Verified Profile Summary

Michael Medlin, BCBA was a registered Behavior Analyst practicing in Lakeland, FL. Throughout an active medical career spanning 11 years, Michael Medlin provided care at the practice location at 4060 SUNSET LAKE DR until profile deactivation on 2026-07-16.

Practice Location & Contact Primary Location

Practice Address

4060 Sunset Lake Dr

Lakeland, FL 338102841

Telephone 8636701900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
111 Specialists

Practicing in Lakeland, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 11417191

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
⚠️
NPI Profile Deactivated July 16, 2026

Record deactivated on July 16, 2026

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2023

Behavior Analyst (License #LABA10000153 in MA)

👤
Provider Name / Credentials Updated March 07, 2022

Recorded as MICHAEL MEDLIN, LBA

📍
Updated Practice Location November 08, 2020

Registered at 1933 FRUITRIDGE ST, BRANDON, FL 335106006 (Tel: 8634095843)

📍
Updated Business Mailing Address November 08, 2020

Registered at 1933 FRUITRIDGE ST, BRANDON, FL 335106006 (Tel: 8634095843)

👤
Provider Name / Credentials Updated November 08, 2020

Recorded as MICHAEL MEDLIN, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2020

Behavior Technician (License #RBT-20-116417 in None)

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2016

Registered at 4060 SUNSET LAKE DR, LAKELAND, FL 338102841 (Tel: 8636701900)

📍
Updated Business Mailing Address October 19, 2016

Registered at 4060 SUNSET LAKE DR, LAKELAND, FL 338102841 (Tel: 8636701900)

👤
Provider Name / Credentials Updated October 19, 2016

Recorded as MICHAEL MEDLIN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Behavior Analyst (License #11417191 in FL)

🟢
Initial NPI Registration & Enumeration February 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Medlin. Be the first to share your experience!

Sign in to leave a review for Michael Medlin

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1184016388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2015
Last Update: October 19, 2016
Deactivation Date: July 16, 2026

Mailing Address

4060 Sunset Lake Dr

Lakeland, FL 338102841

Phone: 8636701900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.