Jaquelin Martinez
Behavior Technician in Bryan, TX. Individual provider (NPI-1).
NPI number1104550722
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1104550722
- Entity type
- Individual (NPI-1)
- Name
- Jaquelin Martinez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2022
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3841 Sagebriar DrBryan, TX 77802-6107
Phone 979-985-9503
Mailing address
3841 Sagebriar DrBryan, TX 77802-6107
Phone 979-985-9503
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