Martin Martinez
Behavior Technician in Fullerton, CA. Individual provider (NPI-1).
NPI number1083179949
StatusActive
Last updated in NPPESFeb 5, 2019
Details
- NPI
- 1083179949
- Entity type
- Individual (NPI-1)
- Name
- Martin Martinez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2019
- Last updated
- Feb 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
505 E Commonwealth AveFullerton, CA 92832-4009
Phone 714-773-0077 · Fax 714-773-0067
Mailing address
1435 N Harbor Blvd # 124Fullerton, CA 92835-4105
Phone 714-773-0077 · Fax 714-773-0067
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All 2,123 Behavior Technician providers in Fullerton · All 6,385 providers in Fullerton
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